Provider Demographics
NPI:1598399248
Name:YUN PU MUNROE ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:YUN PU MUNROE ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YUN PU
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNROE
Authorized Official - Suffix:
Authorized Official - Credentials:LIC AC
Authorized Official - Phone:978-330-7141
Mailing Address - Street 1:33 RIVERDALE RD
Mailing Address - Street 2:
Mailing Address - City:BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01821-5256
Mailing Address - Country:US
Mailing Address - Phone:978-330-7141
Mailing Address - Fax:
Practice Address - Street 1:572 BOSTON RD UNIT 9
Practice Address - Street 2:
Practice Address - City:BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01821-3757
Practice Address - Country:US
Practice Address - Phone:978-330-7141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-02
Last Update Date:2020-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty