Acupuncture Services of Randolph,, Inc.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

219605 Issued in MA

Legal business name

ACUPUNCTURE SERVICES OF RANDOLPH,, INC.

Practice address

171 Route 6a
Old Kings. Highway
Sandwich, MA 02563

Phone

(781) 963-0457

NPI assigned

Nov 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Susan A. Dellea, L.AC.

Title

President

Phone

(781) 963-0457

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1255511697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 ROUTE 6A",
            "address_2": "OLD KINGS. HIGHWAY",
            "city": "SANDWICH",
            "state": "MA",
            "postal_code": "02563",
            "telephone_number": "508-833-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 ROUTE 6A",
            "address_2": "OLD KINGS. HIGHWAY",
            "city": "SANDWICH",
            "state": "MA",
            "postal_code": "02563",
            "telephone_number": "781-963-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPUNCTURE SERVICES OF RANDOLPH,, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "DELLEA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-963-0457",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "219605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.