Provider Demographics
NPI:1669345054
Name:ADVANCED ACUPUNCTURE CALDWELL LLC
Entity type:Organization
Organization Name:ADVANCED ACUPUNCTURE CALDWELL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:DALESSIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-294-8601
Mailing Address - Street 1:519 BLOOMFIELD AVE STE L21
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-5510
Mailing Address - Country:US
Mailing Address - Phone:973-228-8600
Mailing Address - Fax:973-228-8623
Practice Address - Street 1:519 BLOOMFIELD AVE STE L21
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-5510
Practice Address - Country:US
Practice Address - Phone:973-228-8600
Practice Address - Fax:973-228-8623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty