Organization
BO ACUPUNCTURE HEALING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BO FANG L.AC, MS.AC (ACUPUNCTURIST)
(203) 305-2141
Entity
Organization
Contact information
Practice address
35 OLD TAVERN RD, SUITE 101, ORANGE, CT 06477-3450
(203) 305-2141
Mailing address
35 OLD TAVERN RD, SUITE 101, ORANGE, CT 06477-3450
(203) 305-2141
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000658
CT
Other
Enumeration date
03/26/2017
Last updated
03/26/2017
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