| 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 |
|---|---|
| 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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