Ana C Alexander, LIC. AC.

Individual provider Active NPI Acupuncturist · Medford, MA

NPI 1366567208 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1366567208
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
212751 (MA)
Practice address
65 Riverside Ave
Medford, MA 02155-4653
Phone
(781) 640-4171
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
212751MAMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 212751 MA Yes

Addresses

Primary practice location

65 Riverside Ave
Medford, MA 02155-4653

Mailing address

65 Riverside Ave
Medford, MA 02155-4653
Phone (781) 640-4171

Other providers in Medford, MA

All providers in Medford, MA · Acupuncturist in Massachusetts

Sources for this page

Verify at the official NPI Registry.