Individual
ICHIRO SHOJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LIC. AC.
Contact information
Practice address
25 CHURCH ST, WATERTOWN, MA 02472-3855
(617) 926-6986
Mailing address
10 WESTMINSTER AVE, WATERTOWN, MA 02472-3645
(617) 926-6986
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
216173
MA
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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