Provider Demographics
NPI:1831625110
Name:CHEN, JUNRONG (LAC)
Entity type:Individual
Prefix:DR
First Name:JUNRONG
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:DR
Other - First Name:JULIA
Other - Middle Name:
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:L AC
Mailing Address - Street 1:31 CHESTER RD # 2
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-2805
Mailing Address - Country:US
Mailing Address - Phone:781-606-4652
Mailing Address - Fax:
Practice Address - Street 1:31 CHESTER RD
Practice Address - Street 2:SUITE 2
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-2805
Practice Address - Country:US
Practice Address - Phone:781-606-4652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-05
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist