Provider Demographics
NPI:1619030574
Name:MCMAHON-KING, CYNTHIA (LIC AC)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:MCMAHON-KING
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:270 LITTLETON RD STE 29
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-3524
Mailing Address - Country:US
Mailing Address - Phone:978-392-8898
Mailing Address - Fax:978-392-8899
Practice Address - Street 1:270 LITTLETON RD STE 29
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-3524
Practice Address - Country:US
Practice Address - Phone:978-392-8898
Practice Address - Fax:978-392-8899
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA244171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist