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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. BOAZ ITSHAKY, MSOM

Active Sole Proprietor

MR. BOAZ ITSHAKY, MSOM is a Acupuncturist healthcare provider located in BETHANY, Connecticut. NPI 1730218181 is currently active in the NPPES registry. Verify at CMS.

Acupuncturist · BETHANY, CT

Registration Details

NPI Number
1730218181
Provider Type
Individual
Gender
Male
NPI Issued
Mar 3, 2007 (19.470047887517 yrs)
Last Updated
Aug 11, 2018
Licenses
002459-1 (NY)
000258 (CT)
Sole Proprietor
Yes

Practice Information

Address
286 BEACON RD
BETHANY, CT, 06524
Browse CT providers · Browse ZIP 06524
Phone
2033932773
Primary Specialty
Acupuncturist
171100000X
Additional Specialty
Acupuncturist
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.