Provider Demographics
NPI:1033286778
Name:YOSHINAGA, F. AUSTEN (LIC AC)
Entity Type:Individual
Prefix:
First Name:F. AUSTEN
Middle Name:
Last Name:YOSHINAGA
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:85 E INDIA ROW
Mailing Address - Street 2:7-G
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02110-3320
Mailing Address - Country:US
Mailing Address - Phone:617-742-6369
Mailing Address - Fax:
Practice Address - Street 1:85 E INDIA ROW
Practice Address - Street 2:7-G
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02110-3320
Practice Address - Country:US
Practice Address - Phone:617-742-6369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA156171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist