Provider Demographics
NPI:1447014667
Name:ENHANCE ASIAN COMMUNITY ON HEALTH, INC.
Entity type:Organization
Organization Name:ENHANCE ASIAN COMMUNITY ON HEALTH, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:857-498-2828
Mailing Address - Street 1:1 FRANKLIN ST UNIT 1207
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02110-1169
Mailing Address - Country:US
Mailing Address - Phone:857-498-2828
Mailing Address - Fax:
Practice Address - Street 1:757 HANCOCK ST UNIT 1207
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02170-2722
Practice Address - Country:US
Practice Address - Phone:857-472-3224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-08
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty