Provider Demographics
NPI:1538284195
Name:ZHANG, QUNHAO (PHD, LAC)
Entity Type:Individual
Prefix:
First Name:QUNHAO
Middle Name:
Last Name:ZHANG
Suffix:
Gender:M
Credentials:PHD, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 HIGHLAND AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-2617
Mailing Address - Country:US
Mailing Address - Phone:781-492-2899
Mailing Address - Fax:781-444-6105
Practice Address - Street 1:1410 HIGHLAND AVE STE 102
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-2617
Practice Address - Country:US
Practice Address - Phone:781-492-2899
Practice Address - Fax:781-444-6105
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA205901171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist