Provider Demographics
NPI:1306014881
Name:CARDOZA, STEVEN (LAC, MS)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:
Last Name:CARDOZA
Suffix:
Gender:M
Credentials:LAC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13A MEDFORD ST
Mailing Address - Street 2:STE. 1
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02474-3100
Mailing Address - Country:US
Mailing Address - Phone:781-648-9839
Mailing Address - Fax:
Practice Address - Street 1:13A MEDFORD ST
Practice Address - Street 2:STE. 1
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02474-3100
Practice Address - Country:US
Practice Address - Phone:781-648-9839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-18
Last Update Date:2008-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA455171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist