Individual
JIAN KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
149 13TH ST, SUITE 2661, CHARLESTOWN, MA 02129-2020
(617) 726-7893
Mailing address
349 PLEASANT ST, APT B1-6, MALDEN, MA 02148-8111
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
209483
MA
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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