Provider Demographics
NPI:1629759600
Name:SADEGHIAN, BRIDGET (LAC)
Entity Type:Individual
Prefix:
First Name:BRIDGET
Middle Name:
Last Name:SADEGHIAN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:ZIA
Other - Middle Name:
Other - Last Name:SADEGHIAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:538 MARKET HILL RD
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-1246
Mailing Address - Country:US
Mailing Address - Phone:732-299-6416
Mailing Address - Fax:
Practice Address - Street 1:538 MARKET HILL RD
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-1246
Practice Address - Country:US
Practice Address - Phone:732-299-6416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist