Healthcare Provider Details

I. General information

NPI: 1518088343
Provider Name (Legal Business Name): THOMAS HOANG RPH,CDM,LIC.AC,M.AC,
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1031 MAIN ST
CLINTON MA
01510-1134
US

IV. Provider business mailing address

173 PRATTS JUNCTION RD
STERLING MA
01564-2300
US

V. Phone/Fax

Practice location:
  • Phone: 978-368-8540
  • Fax:
Mailing address:
  • Phone: 978-235-5059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number202983
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number22803
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: