Healthcare Provider Details
I. General information
NPI: 1346059169
Provider Name (Legal Business Name): BLUME ACUPUNCTURE AND WELLNESS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/06/2025
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3 DUNDEE PARK DR STE B10
ANDOVER MA
01810-3987
US
IV. Provider business mailing address
342 SALEM ST
ANDOVER MA
01810-2330
US
V. Phone/Fax
- Phone: 781-951-3456
- Fax:
- Phone: 603-731-0498
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JULIE
BLUME OEUR
Title or Position: OWNER, ACUPUNCTURIST
Credential: L.AC., MACOM
Phone: 781-951-3456