Provider Demographics
NPI:1679741011
Name:MUELLER, WILLIAM H (LIC AC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:H
Last Name:MUELLER
Suffix:
Gender:M
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CAMBRIDGE HEALTH ASSOCIATES
Mailing Address - Street 2:335 BROADWAY
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139
Mailing Address - Country:US
Mailing Address - Phone:617-354-8360
Mailing Address - Fax:
Practice Address - Street 1:CAMBRIDGE HEALTH ASSOCIATES
Practice Address - Street 2:335 BROADWAY
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139
Practice Address - Country:US
Practice Address - Phone:617-354-8360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA50171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist