Provider Demographics
NPI:1356815849
Name:LIU, JING J. (MD(CHINA),PHD,LIAC)
Entity Type:Individual
Prefix:
First Name:JING J.
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:MD(CHINA),PHD,LIAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1018 COMMONWEALTH AVE, SUITE 3
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-1139
Mailing Address - Country:US
Mailing Address - Phone:857-288-8322
Mailing Address - Fax:
Practice Address - Street 1:1018 COMMONWEALTH AVE, SUITE 3
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-1139
Practice Address - Country:US
Practice Address - Phone:857-288-8322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-17
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist