Healthcare Provider Details

I. General information

NPI: 1811705627
Provider Name (Legal Business Name): DAQING ACUPUNCTURE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2024
Last Update Date: 12/26/2024
Certification Date: 12/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 BALD HILL RD
WARWICK RI
02886-1617
US

IV. Provider business mailing address

780 GREAT RD
LINCOLN RI
02865-3830
US

V. Phone/Fax

Practice location:
  • Phone: 401-919-6999
  • Fax:
Mailing address:
  • Phone: 401-919-6999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DA HAO
Title or Position: OWNER
Credential:
Phone: 401-919-6999