Provider Demographics
NPI:1730480427
Name:OCEAN ACUPUNCTURE & HERB MEDICINE CENTER, LLC
Entity type:Organization
Organization Name:OCEAN ACUPUNCTURE & HERB MEDICINE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:YUEMEI
Authorized Official - Middle Name:
Authorized Official - Last Name:CAI
Authorized Official - Suffix:
Authorized Official - Credentials:ACUPUNCTURIST
Authorized Official - Phone:732-272-7005
Mailing Address - Street 1:2163 BERNADETTE CT
Mailing Address - Street 2:
Mailing Address - City:SEA GIRT
Mailing Address - State:NJ
Mailing Address - Zip Code:08750-2217
Mailing Address - Country:US
Mailing Address - Phone:732-359-6242
Mailing Address - Fax:732-359-6242
Practice Address - Street 1:2517 HIGHWAY 35
Practice Address - Street 2:BLDG M, STE 102
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736-1918
Practice Address - Country:US
Practice Address - Phone:732-272-7005
Practice Address - Fax:732-359-6242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-11
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00032000171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty