Provider Demographics
NPI:1457977654
Name:CLOVE TREE COMMUNITY ACUPUNCTURE
Entity Type:Organization
Organization Name:CLOVE TREE COMMUNITY ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZHIHONG
Authorized Official - Middle Name:
Authorized Official - Last Name:SHANG
Authorized Official - Suffix:
Authorized Official - Credentials:DOM,LAC
Authorized Official - Phone:203-465-9366
Mailing Address - Street 1:41 MIDDLETOWN AVE # 2NDF
Mailing Address - Street 2:
Mailing Address - City:NORTH HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06473-3939
Mailing Address - Country:US
Mailing Address - Phone:203-465-9366
Mailing Address - Fax:
Practice Address - Street 1:41 MIDDLETOWN AVE # 2NDF
Practice Address - Street 2:
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473-3939
Practice Address - Country:US
Practice Address - Phone:203-465-9366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-23
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty