Provider Demographics
NPI:1174820708
Name:MARLBOROUGH WELLNESS CENTER
Entity Type:Organization
Organization Name:MARLBOROUGH WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A BROWN
Authorized Official - Last Name:DALBEC
Authorized Official - Suffix:
Authorized Official - Credentials:MAOM, LIC AC
Authorized Official - Phone:508-460-3399
Mailing Address - Street 1:14 WINTHROP ST
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-2146
Mailing Address - Country:US
Mailing Address - Phone:508-460-3399
Mailing Address - Fax:
Practice Address - Street 1:14A WINTHROP STREET
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752
Practice Address - Country:US
Practice Address - Phone:508-460-3399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-17
Last Update Date:2015-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA226473171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty