Healthcare Provider Details

I. General information

NPI: 1528084902
Provider Name (Legal Business Name): PATRICK J. DUMONT L. AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 08/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 HANCOCK STREET
QUINCY MA
02170
US

IV. Provider business mailing address

9 HILLSVIEW ST
CANTON MA
02021-1314
US

V. Phone/Fax

Practice location:
  • Phone: 617-328-6300
  • Fax: 617-328-7780
Mailing address:
  • Phone: 617-429-9176
  • Fax: 781-344-0891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number209
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: