Provider Demographics
NPI:1396209854
Name:FAMILY ACUPUNCTURE AND HERBS OF READING LLC
Entity Type:Organization
Organization Name:FAMILY ACUPUNCTURE AND HERBS OF READING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR AND PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:F
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:LIC AC
Authorized Official - Phone:781-944-5443
Mailing Address - Street 1:18 PRINCETON RD
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-2325
Mailing Address - Country:US
Mailing Address - Phone:781-944-5443
Mailing Address - Fax:781-245-1496
Practice Address - Street 1:591 NORTH AVE STE 1-1
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880-1619
Practice Address - Country:US
Practice Address - Phone:781-944-5443
Practice Address - Fax:781-245-1496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-29
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty