Provider Demographics
NPI:1225538895
Name:WELLFIT ACUPUNCTURE BOSTON
Entity Type:Organization
Organization Name:WELLFIT ACUPUNCTURE BOSTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ISRAEL
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:617-266-0323
Mailing Address - Street 1:376 BOYLSTON ST STE 202
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-3828
Mailing Address - Country:US
Mailing Address - Phone:617-266-0323
Mailing Address - Fax:
Practice Address - Street 1:376 BOYLSTON ST STE 202
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02116-3828
Practice Address - Country:US
Practice Address - Phone:617-266-0323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-20
Last Update Date:2018-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
236594171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty