Organization
NEW MOON ACUPUNCTURE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ECE YILDIRIM LAC (ACUPUNCTURIST)
(716) 796-3763
Entity
Organization
Contact information
Practice address
557 MOUNT AUBURN ST STE 2, WATERTOWN, MA 02472-4102
(716) 796-3763
Mailing address
88 VERNON ST UNIT 2, WALTHAM, MA 02453-2800
(716) 796-3763
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760875496
NPI ENUMERATOR
—
Enumeration date
09/23/2020
Last updated
09/23/2020
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