# ROCKY COAST FAMILY ACUPUNCTURE, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104956671
- **Authorized official:** JASON SHER STEIN L.AC. (PRESIDENT)
- **Authorized official phone:** (207) 775-2059

## Contact information

- **Practice address:** 500 FOREST AVE, SUITE 2A, PORTLAND, ME 04101-1541
- **Practice address phone:** (207) 775-2059
- **Mailing address:** 500 FOREST AVE, SUITE 2A, PORTLAND, ME 04101-1541
- **Mailing address phone:** (207) 775-2059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC237 | ME | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 061669 | ANTHEM PIN \# | ME |