Healthcare Provider Details

I. General information

NPI: 1942549043
Provider Name (Legal Business Name): BUCKS COUNTY ACUPUNCTURE CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2013
Last Update Date: 02/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 VILLAGE ROW
NEW HOPE PA
18938-1061
US

IV. Provider business mailing address

9 VILLAGE ROW
NEW HOPE PA
18938-1061
US

V. Phone/Fax

Practice location:
  • Phone: 267-714-4149
  • Fax: 267-327-3565
Mailing address:
  • Phone: 267-714-4149
  • Fax: 267-327-3565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberOM000143, OM000144
License Number StatePA

VIII. Authorized Official

Name: DENNIS GALVIN
Title or Position: PARTNER
Credential: L.OM
Phone: 267-714-4149