Organization
ACUPUNCTURE AND ORIENTAL MEDICINE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IAN ANTHONY CYRUS L.AC. (ACUPUNCTURIST/OWNER)
(267) 342-5880
Entity
Organization
Contact information
Practice address
2014 FAIRMOUNT AVENUE, PHILADELPHIA, PA 19130-2602
(267) 342-5880
Mailing address
P.O. BOX 341, GLENSIDE, PA 19038-9998
(267) 342-5880
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AK000397
PA
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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