Provider Demographics
NPI:1699315382
Name:COMFORT CANA ACUPUNCTURE LLC
Entity type:Organization
Organization Name:COMFORT CANA ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:TAE-YOUNG
Authorized Official - Middle Name:JACOB
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:ACUPUNCTURIST
Authorized Official - Phone:908-930-2678
Mailing Address - Street 1:62 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-1867
Mailing Address - Country:US
Mailing Address - Phone:908-930-2678
Mailing Address - Fax:732-482-1731
Practice Address - Street 1:62 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-1867
Practice Address - Country:US
Practice Address - Phone:908-930-2678
Practice Address - Fax:732-482-1731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-09
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty