Provider Demographics
NPI:1649427980
Name:MAI, RUI XIONG (LIC AC)
Entity type:Individual
Prefix:
First Name:RUI XIONG
Middle Name:
Last Name:MAI
Suffix:
Gender:M
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MAI ACUPUNCTURE CENTER
Mailing Address - Street 2:475A WASHINGTON STREET
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458
Mailing Address - Country:US
Mailing Address - Phone:617-332-8898
Mailing Address - Fax:
Practice Address - Street 1:MAI ACUPUNCTURE CENTER
Practice Address - Street 2:475A WASHINGTON STREET
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458
Practice Address - Country:US
Practice Address - Phone:617-332-8898
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA28171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist