Provider Demographics
NPI:1558105668
Name:TONG ACUPUNCTURE AND HERBS
Entity type:Organization
Organization Name:TONG ACUPUNCTURE AND HERBS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORIENTAL MEDICINE DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SEUNGGON
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:OMD
Authorized Official - Phone:267-772-4579
Mailing Address - Street 1:653 SKIPPACK PIKE STE 310-2
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-1742
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:653 SKIPPACK PIKE STE 310-2
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-1742
Practice Address - Country:US
Practice Address - Phone:267-888-1843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service