# IMED RX PC

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

## Provider details

- **NPI number:** 1932746203
- **Authorized official:** DR. CHARLES LEON ANDERSON JR. MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (617) 797-9977

## Contact information

- **Practice address:** 127 UNIVERSITY AVE, WESTWOOD, MA 02090-2325
- **Practice address phone:** (781) 686-1608
- **Mailing address:** 23 CRAIGIE TER, NEWTON, MA 02460-2106
- **Mailing address phone:** (617) 797-9977

## Taxonomy

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

## Other

- **Enumeration date:** 12/05/2019
- **Last updated:** 12/09/2019