Spark Acupuncture Associates LLC
Organization Active NPI Acupuncturist · River Vale, NJ
NPI 1194178749 · NPPES record last updated Oct 4, 2021
Key facts
- NPI
- 1194178749
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Acupuncturist 171100000X
- License
- 25MZ00072700 (NJ)
- Legal business name
- SPARK ACUPUNCTURE ASSOCIATES LLC
- Practice address
- 688 Westwood Ave Ste 2
River Vale, NJ 07675-6375 - Phone
- (201) 596-4040
- Fax
- (201) 648-7905
- NPI assigned
- Jul 19, 2016
- Organization subpart
- No
Authorized official
- Name
- Mr. Sung Ho Park, ACUPUNCTURIST
- Title
- Owner
- Phone
- (201) 970-6174
Practitioners 1
-
Sung Ho Park, L.AC
National Provider Directory
Locations
448 Boulevard
Hasbrouck Heights, NJ 07604
Phone (201) 543-4551
688 Westwood Ave
Ste 2
River Vale, NJ 07675
Phone (201) 596-4040
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist |
171100000X | 25MZ00072700 | NJ | Yes |
| Acupuncturist |
171100000X | NJ |
Addresses
Primary practice location
688 Westwood Ave Ste 2
River Vale, NJ 07675-6375
Mailing address
688 Westwood Ave Ste 2
River Vale, NJ 07675-6375
Phone (201) 596-4040
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All providers in River Vale, NJ · Acupuncturist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.