Individual
PROF. MARTHA MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, M.S.
Contact information
Practice address
83 BOSTON POST RD, WATERFORD, CT 06385-2423
(917) 309-4694
Mailing address
2080 1ST AVE APT 707, NEW YORK, NY 10029-4328
(917) 309-4694
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
590
CT
Other
Enumeration date
06/27/2013
Last updated
06/27/2013
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