MEDICARE: NEIL PREGOZEN LIC. AC.

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
1	171100000X	Acupuncturist	224446	MA

General Provider Information

NPI Number	:	1497862759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEIL PREGOZEN LIC. AC.

Provider Business Mailing Address
First Line	:	34 POMEROY LN
Second Line	:	UNIT #5
City	:	AMHERST
State	:	MA
Zip	:	01002-2941
Country	:	US
Telephone Number	:	413-230-9609
Fax Number	:

Provider Business Practice Location Address
First Line	:	34 POMEROY LN
Second Line	:	UNIT #5
City	:	AMHERST
State	:	MA
Zip	:	01002-2941
Country	:	US
Telephone Number	:	413-230-9609
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	04/25/2013

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