Healthcare Provider Details

I. General information

NPI: 1982482527
Provider Name (Legal Business Name): ACUPUNCTURE SPECIALISTS & WELLNESS CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2023
Last Update Date: 09/15/2023
Certification Date: 09/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 NATE WHIPPLE HWY STE 205
CUMBERLAND RI
02864-1425
US

IV. Provider business mailing address

32 LORRAINE METCALF RD
FRANKLIN MA
02038-3234
US

V. Phone/Fax

Practice location:
  • Phone: 860-460-9074
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: GLORIA LEE
Title or Position: OWNER
Credential: DA
Phone: 860-460-9074