Raymond J Ahles, L.AC/ DIPL.OM

Individual provider Active NPI Acupuncturist · Bergenfield, NJ

NPI 1275975476 · NPPES record last updated Jul 29, 2013

Key facts

NPI
1275975476
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
MZ00016600 (NJ)
Practice address
53 S Washington Ave
Bergenfield, NJ 07621-2324
Phone
(201) 385-3130
Fax
(201) 385-9688
NPI assigned
Jul 29, 2013
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MZ00016600NJMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X MZ00016600 NJ Yes

Addresses

Primary practice location

53 S Washington Ave
Bergenfield, NJ 07621-2324

Mailing address

53 S Washington Ave
Bergenfield, NJ 07621-2324
Phone (201) 385-3130

Other providers in Bergenfield, NJ

All providers in Bergenfield, NJ · Acupuncturist in New Jersey

Sources for this page

Verify at the official NPI Registry.