Individual
PROF. CHARLES THOMAS FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
40 ORCHARD PL, BEACON, NY 12508-1828
(917) 804-3519
Mailing address
40 ORCHARD PL, BEACON, NY 12508-1828
(917) 804-3519
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000710-1
NY
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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