Provider Demographics
NPI:1295299444
Name:SAHARNAZ REZANIA ACUPUNCTURIST LLC
Entity type:Organization
Organization Name:SAHARNAZ REZANIA ACUPUNCTURIST LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:SAHARNAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:REZANIA
Authorized Official - Suffix:
Authorized Official - Credentials:MAC
Authorized Official - Phone:508-318-8670
Mailing Address - Street 1:95 LOKER ST
Mailing Address - Street 2:
Mailing Address - City:WAYLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01778-3717
Mailing Address - Country:US
Mailing Address - Phone:508-318-8670
Mailing Address - Fax:
Practice Address - Street 1:95 LOKER ST
Practice Address - Street 2:
Practice Address - City:WAYLAND
Practice Address - State:MA
Practice Address - Zip Code:01778-3717
Practice Address - Country:US
Practice Address - Phone:508-318-8670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-22
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty