MEDICARE: MEI-HUEI TU M.AC., 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	426	MA

General Provider Information

NPI Number	:	1568583425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEI-HUEI TU M.AC., LIC.AC.

Provider Business Mailing Address
First Line	:	15 EDGECLIFF RD
Second Line	:
City	:	WATERTOWN
State	:	MA
Zip	:	02472-3544
Country	:	US
Telephone Number	:	617-923-0639
Fax Number	:

Provider Business Practice Location Address
First Line	:	22 MILL ST STE 309
Second Line	:
City	:	ARLINGTON
State	:	MA
Zip	:	02476-4744
Country	:	US
Telephone Number	:	781-641-3633
Fax Number	:

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

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	07/08/2007

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