Healthcare Provider Details

I. General information

NPI: 1598966681
Provider Name (Legal Business Name): ACUPUNCTURE AND HEALING ARTS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 07/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 GLENBROOK RD STE 300
STAMFORD CT
06902
US

IV. Provider business mailing address

66 GLENBROOK RD STE 300
STAMFORD CT
06902
US

V. Phone/Fax

Practice location:
  • Phone: 203-353-8811
  • Fax:
Mailing address:
  • Phone: 203-353-8811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: EILEEN KARN
Title or Position: DIRECTOR
Credential: L.AC., DPL.AC.
Phone: 203-353-8811