MEDICARE: ELIZABETH JEAN HAMLIN

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	:	1962636399
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH JEAN HAMLIN

Provider Business Mailing Address
First Line	:	49 CARLETON ST
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02458-1604
Country	:	US
Telephone Number	:	617-876-6821
Fax Number	:

Provider Business Practice Location Address
First Line	:	49 CARLETON ST
Second Line	:
City	:	NEWTON
State	:	MA
Zip	:	02458-1604
Country	:	US
Telephone Number	:	617-876-6821
Fax Number	:

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

Provider Enumeration Date	:	05/13/2009
Last Update Date	:	05/13/2009

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