MEDICARE: THE EIGHT GATES 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
1	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1629864350
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE EIGHT GATES LLC

Provider Business Mailing Address
First Line	:	266A PARK RD
Second Line	:
City	:	WEST HARTFORD
State	:	CT
Zip	:	06119-2018
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	266A PARK RD
Second Line	:
City	:	WEST HARTFORD
State	:	CT
Zip	:	06119-2018
Country	:	US
Telephone Number	:	860-899-7015
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TAM NGUYEN
Credential	:	L. AC. DIPL. OM
Telephone Number	:	860-899-7015

Provider Enumeration Date	:	04/18/2025
Last Update Date	:	04/18/2025

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