Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FANNIE TAN KOA, LIC.AC., DIPL.OM
Active Sole ProprietorFANNIE TAN KOA, LIC.AC., DIPL.OM is a Acupuncturist healthcare provider located in SOMERVILLE, Massachusetts. NPI 1588925077 is currently active in the NPPES registry. Verify at CMS.
Acupuncturist · SOMERVILLE, MA
Registration Details
- NPI Number
- 1588925077
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 31, 2012 (14.179181616518 yrs)
- Last Updated
- Feb 15, 2017
- Licenses
-
253925 (MA)205 (NH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
259 ELM STSUITE 300BSOMERVILLE, MA, 021442950Browse MA providers · Browse ZIP 02144
- Phone
- 6172949109
- Primary Specialty
-
Acupuncturist
171100000X
- Additional Specialty
- Acupuncturist
Other Acupuncturist Providers in SOMERVILLE, MA
| Name | Credential | NPI |
|---|---|---|
| ANNETTE E QUAIL | LIC. AC. | 1790852432 |
| NAAMA KATZ | LIC. AC. | 1437212529 |
| EUNHEE K BELEW | LIC. AC. | 1184781635 |
| SHERYL SAROKAS | LIC. AC. | 1326181892 |
| CATHY E. THOMASON | LIC. AC. | 1780703488 |
| MS. DEBRA JOAN WOOD | LIC AC, MACOM | 1447473400 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.