Individual
MR. ALAN PAUL RIVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
25 MAIN ST, CANAAN, CT 06018-2462
(860) 824-7727
Mailing address
25 MAIN ST, CANAAN, CT 06018-2462
(860) 824-7727
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
000357
CT
171100000X
Acupuncturist
Primary
226946
MA
Other
Enumeration date
11/19/2009
Last updated
11/19/2009
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