Provider Demographics
NPI:1629193560
Name:DROGIN, ANNE K (LIC AC)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:K
Last Name:DROGIN
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 1:19 BEACH RD
Mailing Address - Street 2:#3
Mailing Address - City:WINTHROP
Mailing Address - State:MA
Mailing Address - Zip Code:02152-1101
Mailing Address - Country:US
Mailing Address - Phone:617-997-1375
Mailing Address - Fax:
Practice Address - Street 1:19 BEACH RD
Practice Address - Street 2:#3
Practice Address - City:WINTHROP
Practice Address - State:MA
Practice Address - Zip Code:02152-1101
Practice Address - Country:US
Practice Address - Phone:617-997-1375
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA617171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist