MEDICARE: MELANY BENOIT-JAMBAZIAN

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	:	1851691471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANY BENOIT-JAMBAZIAN

Provider Business Mailing Address
First Line	:	6 MOUNTAIN ST
Second Line	:
City	:	PLAINFIELD
State	:	MA
Zip	:	01070-9757
Country	:	US
Telephone Number	:	413-687-1230
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 MOUNTAIN ST
Second Line	:
City	:	PLAINFIELD
State	:	MA
Zip	:	01070-9757
Country	:	US
Telephone Number	:	413-687-1230
Fax Number	:

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

Provider Enumeration Date	:	10/29/2010
Last Update Date	:	10/29/2010

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Directions to “ MELANY BENOIT-JAMBAZIAN ” Practice Location

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