Individual
BO FANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
215 MAIN ST, WESTPORT, CT 06880-3210
(203) 816-0866
Mailing address
215 MAIN ST, WESTPORT, CT 06880-3210
(203) 816-0866
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000658
CT
Other
Enumeration date
09/21/2016
Last updated
08/16/2024
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