Provider Demographics
NPI:1235646548
Name:JOSHUA WARREN
Entity Type:Organization
Organization Name:JOSHUA WARREN
Other - Org Name:CONNECTICUT RIVER ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST/OWNER OF OR
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:MAOM
Authorized Official - Phone:413-768-7093
Mailing Address - Street 1:65 5TH ST APT 1B
Mailing Address - Street 2:
Mailing Address - City:TURNERS FALLS
Mailing Address - State:MA
Mailing Address - Zip Code:01376-1450
Mailing Address - Country:US
Mailing Address - Phone:413-768-7093
Mailing Address - Fax:
Practice Address - Street 1:14 MILES ST
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-3212
Practice Address - Country:US
Practice Address - Phone:413-768-7093
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-08
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty