Provider Demographics
NPI:1134395189
Name:ARIOLA, JEFFREY M (LAC)
Entity type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:M
Last Name:ARIOLA
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 445
Mailing Address - Street 2:
Mailing Address - City:WEST MILFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07480-0445
Mailing Address - Country:US
Mailing Address - Phone:973-506-6500
Mailing Address - Fax:
Practice Address - Street 1:333A ROUTE 46 W STE 135
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07004-2415
Practice Address - Country:US
Practice Address - Phone:973-943-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00053100171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist