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Contact Information

BLAKE ACUPUNCTURE & HERBAL MEDICINE
16 BRADLEE RD
MEDFORD, MA02155-3171
 Phone: 781-269-2849
 Fax: 866-750-7899
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for BLAKE ACUPUNCTURE & HERBAL MEDICINE

NPI # 1326555079
LBN Legal business name BLAKE ACUPUNCTURE & HERBAL MEDICINE
Authorized official LISA BLAKE - (LICENSED ACUPUNCTURIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/03/2018
Last updated 01/03/2018 - About 8 years ago
Identifiers
MA License # 261149
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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