Provider Demographics
NPI:1427229244
Name:GUANCI, JOSEPH PAUL (LIC AC)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:PAUL
Last Name:GUANCI
Suffix:
Gender:M
Credentials:LIC AC
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:315 MAIN ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-3666
Mailing Address - Country:US
Mailing Address - Phone:781-944-4800
Mailing Address - Fax:
Practice Address - Street 1:315 MAIN ST
Practice Address - Street 2:SUITE 205
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-3666
Practice Address - Country:US
Practice Address - Phone:781-944-4800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-19
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA233879171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist