# REVIVE ACUPUNCTURE & ORIENTAL MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609547264
- **Authorized official:** REGINA TO (ACUPUNCTURIST)
- **Authorized official phone:** (857) 232-3103

## Contact information

- **Practice address:** 665 HANCOCK ST STE 1, QUINCY, MA 02170-2858
- **Practice address phone:** (857) 232-3103
- **Mailing address:** 665 HANCOCK ST STE 1, QUINCY, MA 02170-2858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 09/23/2021
- **Last updated:** 04/25/2024