Provider Demographics
NPI:1528084902
Name:DUMONT, PATRICK J (L AC)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:J
Last Name:DUMONT
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:
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Mailing Address - Street 1:9 HILLSVIEW ST
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-1314
Mailing Address - Country:US
Mailing Address - Phone:617-429-9176
Mailing Address - Fax:781-344-0891
Practice Address - Street 1:605 HANCOCK STREET
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02170
Practice Address - Country:US
Practice Address - Phone:617-328-6300
Practice Address - Fax:617-328-7780
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA209171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist