Provider Demographics
NPI:1043088362
Name:ADVANCED ACUPUNCTURE CENTER, LLC
Entity Type:Organization
Organization Name:ADVANCED ACUPUNCTURE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONGDONG
Authorized Official - Middle Name:AN
Authorized Official - Last Name:YANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-465-9401
Mailing Address - Street 1:76 CANAL ST STE 300
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2024
Mailing Address - Country:US
Mailing Address - Phone:857-465-9401
Mailing Address - Fax:
Practice Address - Street 1:76 CANAL ST STE 300
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2024
Practice Address - Country:US
Practice Address - Phone:857-465-9401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-15
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty