Individual
HUAN-WEN FANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LIC. AC.
Contact information
Practice address
411 MASS AVE STE 304, ACTON, MA 01720-3739
(508) 366-5773
(508) 366-6523
Mailing address
411 MASS AVE STE 304, ACTON, MA 01720-3739
(978) 429-8369
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
220800
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154538965
LAC
MA
Enumeration date
05/17/2007
Last updated
02/12/2019
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