MEDICARE: MR. PATRICK J. DUMONT L. 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	209	MA

General Provider Information

NPI Number	:	1528084902
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. PATRICK J. DUMONT L. AC.

Provider Business Mailing Address
First Line	:	9 HILLSVIEW ST
Second Line	:
City	:	CANTON
State	:	MA
Zip	:	02021-1314
Country	:	US
Telephone Number	:	617-429-9176
Fax Number	:	781-344-0891

Provider Business Practice Location Address
First Line	:	605 HANCOCK STREET
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02170
Country	:	US
Telephone Number	:	617-328-6300
Fax Number	:	617-328-7780

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

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	08/27/2019

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