Healthcare Provider Details

I. General information

NPI: 1275443335
Provider Name (Legal Business Name): NOAH JOYA HUNTINGTON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: LARK JOYA HUNTINGTON

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 CANAL ST FL 4
BOSTON MA
02114-2002
US

IV. Provider business mailing address

50 BRADLEY ST
SOMERVILLE MA
02145-2930
US

V. Phone/Fax

Practice location:
  • Phone: 617-619-5937
  • Fax:
Mailing address:
  • Phone: 702-423-4909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: