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NPI Code Detail

MEDICARE: TAI D NGO

MEDICARE: TAI D NGO
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
1171100000XAcupuncturist238397MA

General Provider Information

NPI Number : 1639311327
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAI D NGO
Provider Business Mailing Address
First Line : 99 PITMAN ST
Second Line :
City : METHUEN
State : MA
Zip : 01844-6419
Country : US
Telephone Number : 978-390-0210
Fax Number :
Provider Business Practice Location Address
First Line : 1005 OSGOOD ST
Second Line :
City : NORTH ANDOVER
State : MA
Zip : 01845-1501
Country : US
Telephone Number : 978-390-0210
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2009
Last Update Date : 04/03/2009

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Directions to “ TAI D NGO ” Practice Location

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