Individual
AMAD JOHN ELIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
238 EDGERTOWN- VINEYARD HAVEN RD, EDGERTOWN, MA 02539
(508) 693-3800
(508) 693-7473
Mailing address
21 HENRY ST, NORTHAMPTON, MA 01060-2518
(248) 703-8120
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
5401000142
MI
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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