=====================================================
General NPI Number Information
=====================================================
NPI Number | 1104067107
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EASTWEST HEALTHWORKS, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/20/2009
-----------------------------------------------------
Last Update Date | 03/20/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6 BOSTON RD SUITE 104
-----------------------------------------------------
City | CHELMSFORD
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01824-3073
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-256-9499
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6 BOSTON RD SUITE 104
-----------------------------------------------------
City | CHELMSFORD
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01824-3073
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 978-256-9499
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MS. CYNTHIA R. LABRUZZO
-----------------------------------------------------
Credential | MAC, LIC.AC.,DIPL.AC
-----------------------------------------------------
Telephone | 978-256-9499
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | 370
-----------------------------------------------------
License Number State | MA
-----------------------------------------------------