1689675472 NPI number — REHABILITATION MEDICINE & ACUPUNCTURE CENTER MD LLC

Table of content: (NPI 1689675472)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689675472 NPI number — REHABILITATION MEDICINE & ACUPUNCTURE CENTER MD LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REHABILITATION MEDICINE & ACUPUNCTURE CENTER MD LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689675472
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/27/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1171 E PUTNAM AVE
Provider Second Line Business Mailing Address:
BLDG 1 2ND FLOOR
Provider Business Mailing Address City Name:
RIVERSIDE
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06878-1426
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-637-7720
Provider Business Mailing Address Fax Number:
203-637-2693

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1171 E PUTNAM AVE
Provider Second Line Business Practice Location Address:
BLDG 1 2ND FLOOR
Provider Business Practice Location Address City Name:
RIVERSIDE
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06878-1426
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-637-7720
Provider Business Practice Location Address Fax Number:
203-637-2693
Provider Enumeration Date:
08/03/2005

Additional Information

Authorized Official

Authorized Official Last Name:
XU
Authorized Official First Name:
JUN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
203-637-7720

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  000638 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208100000X , with the licence number: 038206 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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