Individual provider · NPI-1

Hyotae An

Acupuncturist · Southbury, CT

NPI number1295507176
StatusActive
Last updated in NPPESOct 24, 2023

Details

NPI
1295507176
Entity type
Individual (NPI-1)
Name
Hyotae An
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 24, 2023
Certification date
Oct 24, 2023
Last updated
Oct 24, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171100000X Acupuncturist007412-01NYYes

Practice location

141 Munn Rd
Southbury, CT 06488-2464

Phone 203-895-0253

Mailing address

141 Munn Rd
Southbury, CT 06488-2464

Phone 203-895-0253

Other practice locations

141 Munn Rd
Southbury, CT 06488-2464

Phone 203-895-0253

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