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NPI Code Detail

MEDICARE: THE MODERN ACUPUNCTURIST, LLC

MEDICARE: THE MODERN ACUPUNCTURIST, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist

General Provider Information

NPI Number : 1073304747
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE MODERN ACUPUNCTURIST, LLC
Provider Business Mailing Address
First Line : 43 PARK VIEW DR
Second Line :
City : HINGHAM
State : MA
Zip : 02043-2134
Country : US
Telephone Number : 781-650-0484
Fax Number :
Provider Business Practice Location Address
First Line : 2048 WASHINGTON ST
Second Line :
City : HANOVER
State : MA
Zip : 02339-1658
Country : US
Telephone Number : 781-650-0484
Fax Number :
Authorized Official
Title or Position : ACUPUNCTURIST/OWNER
Name : MS. ABBY FRIEND KRUG
Credential : LAC
Telephone Number : 781-650-0484
Provider Enumeration Date : 05/13/2025
Last Update Date : 10/22/2025

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Directions to “THE MODERN ACUPUNCTURIST, LLC ” Practice Location

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