Individual
MASAHIRO ICHIKAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 CHURCH ST, #4, WATERTOWN, MA 02472-3855
(617) 926-6986
Mailing address
9 B ST, 1ST FLOOR, BELMONT, MA 02478-1903
(617) 484-8878
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
220798
MA
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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