NPI 1114064433

Jon Hagenburg, DA

Practitioner Acupuncturist Providence, RI

Practice location

Address: 45 Eagle St Bldg J, Unit 100, Providence, RI 02909-1011
Phone: (401) 323-2998

Registered specialties

Acupuncturist Primary

Other Service Providers Taxonomy 171100000X Licence DA00279 (RI)

Other Acupuncturist providers in Rhode Island →

Registry record

NPI: 1114064433
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.