Provider Demographics
NPI:1851739841
Name:CHERNG, MELANIE (LIC AC, DIP CHM)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:CHERNG
Suffix:
Gender:F
Credentials:LIC AC, DIP CHM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 CUFFLIN ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-2402
Mailing Address - Country:US
Mailing Address - Phone:857-222-5911
Mailing Address - Fax:
Practice Address - Street 1:183 GREEN ST
Practice Address - Street 2:
Practice Address - City:JAMAICA PLAIN
Practice Address - State:MA
Practice Address - Zip Code:02130-2653
Practice Address - Country:US
Practice Address - Phone:617-942-0149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-12
Last Update Date:2013-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist