Healthcare Provider Details

I. General information

NPI: 1245503960
Provider Name (Legal Business Name): HANH DOAN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2012
Last Update Date: 02/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 BOYLSTON ST 2ND FLOOR
BOSTON MA
02116-3607
US

IV. Provider business mailing address

575 BOYLSTON ST 2ND FLOOR
BOSTON MA
02116-3607
US

V. Phone/Fax

Practice location:
  • Phone: 617-778-7344
  • Fax: 617-674-2096
Mailing address:
  • Phone: 617-778-7344
  • Fax: 617-674-2096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. HANH M DOAN
Title or Position: OWNER
Credential: DC
Phone: 617-778-7344