Jimmy Duong, LAC
Prevention Professional in Hanover, Massachusetts
1063953545- Practice location
- 90 Rockland St, Hanover, MA 02339-2235
- Phone
- 781-829-9355
- Fax
- —
- Last updated
- March 16, 2017
Jimmy Duong is a Prevention Professional based in Hanover, MA. Jimmy Duong practices in Hanover, MA and has the professional credentials of LAC. The NPI Number for Jimmy Duong is 1063953545 and holds a License No. 265058 (MA). The current practice location address for Jimmy Duong is 90 Rockland St, Hanover, MA 02339-2235 and can be reached out via phone at 781-829-9355.
Provider Profile Details
- NPI Number
- 1063953545
- Provider Name
- Jimmy Duong
- Credential
- LAC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 90 Rockland St, Hanover, MA 02339-2235
- Phone Number
- 781-829-9355
- Primary Taxonomy
- Prevention Professional · 405300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 16, 2017
- Last Update Date
- March 16, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 90 Rockland St
Hanover, MA 02339-2235 - City
- Hanover
- State
- Massachusetts
- Zip
- 02339-2235
- Phone Number
- 781-829-9355
Provider Business Mailing Address Details
- Address
- 5 J A Mcdermott Cir
Randolph, MA 02368-2753 - City
- Randolph
- State
- MA
- Zip
- 02368-2753
License Information
- License Number
- 265058
- License State
- MA
- Taxonomy
- Prevention Professional · 405300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jimmy Duong, LAC?
The NPI number of Jimmy Duong, LAC is 1063953545. It was assigned on March 16, 2017 and is currently active in the NPPES registry.
What is the specialty of Jimmy Duong, LAC?
Jimmy Duong, LAC is registered under the primary taxonomy Prevention Professional (code 405300000X), licensed in MA under license number 265058.
Where does Jimmy Duong, LAC practice?
The practice location is 90 Rockland St, Hanover, MA 02339-2235. The office can be reached at 781-829-9355 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063953545 directly on the NPPES registry website.