Healthcare Provider Details

I. General information

NPI: 1700955960
Provider Name (Legal Business Name): MAY X ZHANG LIC.AC., DIPL.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 GAMMONS RD
WABAN MA
02468-1216
US

IV. Provider business mailing address

1051 BEACON ST SUITE203A
BROOKLINE MA
02446-5685
US

V. Phone/Fax

Practice location:
  • Phone: 617-964-6886
  • Fax: 617-964-6999
Mailing address:
  • Phone: 617-277-7706
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number467
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: