Individual
JACK MA
Active
Individual
JACK MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACUPUNCTURIST
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005627
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MZ001172000
ACUPUNCTURE
NJ
01
—
5627
ACCUPUNCTURE
NY
Enumeration date
09/15/2015
Last updated
04/17/2019
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