Stone Mountain Medicine-acupuncture | |
1533 Shattuck Ave Berkeley CA 94709-1516 | |
(510) 549-9905 | |
Not Available |
Full Name | Stone Mountain Medicine-acupuncture |
---|---|
Speciality | Clinic/center |
Location | 1533 Shattuck Ave, Berkeley, California |
Authorized Official Name and Position | Michael Fitzgerald (LICENSED ACUPUNCTURIST) |
Authorized Official Contact | 5105499905 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stone Mountain Medicine-acupuncture 1533 Shattuck Ave Berkeley CA 94709-1516 Ph: (510) 549-9905 | Stone Mountain Medicine-acupuncture 1533 Shattuck Ave Berkeley CA 94709-1516 Ph: (510) 549-9905 |
NPI Number | 1336676022 |
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Provider Enumeration Date | 05/12/2017 |
Last Update Date | 05/12/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336676022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 8691 (California) | Primary |
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