Jennifer Lyn Anders, LIC. AC.

Individual provider Active NPI Acupuncturist · Brighton, MA

NPI 1770501959 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1770501959
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
222845 (MA)
Practice address
214 Market St
Brighton, MA 02135-1946
Phone
(617) 480-1998
Fax
(617) 787-5045
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
Yes

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
222845MAMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 222845 MA Yes

Addresses

Primary practice location

214 Market St
Brighton, MA 02135-1946

Mailing address

125 Chiswick Rd Apt 202
Brighton, MA 02135-5305
Phone (617) 783-0975

Other providers in Brighton, MA

All providers in Brighton, MA · Acupuncturist in Massachusetts

Sources for this page

Verify at the official NPI Registry.