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Individual

MR. CHARLES TADAO TAKAYANAGI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MAC

Contact information

Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(508) 583-4500
Mailing address
164 ALBEMARLE RD, NORWOOD, MA 02062-1136
(781) 686-0919

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
257396
MA

Other

Enumeration date
07/16/2013
Last updated
06/22/2023
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