Provider Demographics
NPI:1972018943
Name:YUPENG
Entity Type:Organization
Organization Name:YUPENG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:H
Authorized Official - Last Name:TU
Authorized Official - Suffix:
Authorized Official - Credentials:LIC AC
Authorized Official - Phone:781-698-9945
Mailing Address - Street 1:270 LITTLETON RD STE 5
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-3523
Mailing Address - Country:US
Mailing Address - Phone:617-252-8708
Mailing Address - Fax:617-252-8708
Practice Address - Street 1:270 LITTLETON RD STE 5
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-3523
Practice Address - Country:US
Practice Address - Phone:617-252-8708
Practice Address - Fax:617-252-8708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-12
Last Update Date:2017-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA249539171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty