Organization
IMED RX PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES LEON ANDERSON JR. MD (MEDICAL DIRECTOR)
(617) 797-9977
Entity
Organization
Contact information
Practice address
127 UNIVERSITY AVE, WESTWOOD, MA 02090-2325
(781) 686-1608
Mailing address
23 CRAIGIE TER, NEWTON, MA 02460-2106
(617) 797-9977
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
12/09/2019
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