Provider Demographics
NPI:1265110688
Name:FOCAL ACUPUNCTURE PC
Entity type:Organization
Organization Name:FOCAL ACUPUNCTURE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GAGE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREOLI-HOLMQUIST
Authorized Official - Suffix:
Authorized Official - Credentials:DAOM
Authorized Official - Phone:401-388-0881
Mailing Address - Street 1:18 MAXSON ST
Mailing Address - Street 2:
Mailing Address - City:ASHAWAY
Mailing Address - State:RI
Mailing Address - Zip Code:02804-1604
Mailing Address - Country:US
Mailing Address - Phone:401-388-0881
Mailing Address - Fax:401-249-4968
Practice Address - Street 1:245 WATERMAN ST STE 303
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-5215
Practice Address - Country:US
Practice Address - Phone:401-388-0881
Practice Address - Fax:401-249-4968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty