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NPI Code Detail

MEDICARE: ROOT & BRANCH ORIENTAL MEDICINE

MEDICARE: ROOT & BRANCH ORIENTAL MEDICINE
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 : 1588922371
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROOT & BRANCH ORIENTAL MEDICINE
Provider Business Mailing Address
First Line : 169 W MAIN ST STE 2B
Second Line :
City : HOPKINTON
State : MA
Zip : 01748-2175
Country : US
Telephone Number : 508-435-8184
Fax Number : 508-435-8185
Provider Business Practice Location Address
First Line : 169 W MAIN ST STE 2B
Second Line :
City : HOPKINTON
State : MA
Zip : 01748-2175
Country : US
Telephone Number : 508-435-8184
Fax Number : 508-435-8185
Authorized Official
Title or Position : ACUPUNCTURIST
Name : MRS. EILEEN POWER DEPAULA
Credential : LIC. AC.
Telephone Number : 508-435-8184
Provider Enumeration Date : 04/30/2012
Last Update Date : 04/23/2019

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Directions to “ROOT & BRANCH ORIENTAL MEDICINE ” Practice Location

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