# GREAT ROAD ACUPUNCTURE AND HERBS LLC

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

## Provider details

- **NPI number:** 1174189666
- **Authorized official:** IRINA I STOJANOVIC LIC AC (OWNER)
- **Authorized official phone:** (978) 394-9485

## Contact information

- **Practice address:** 75 GREAT RD STE 201, ACTON, MA 01720-5678
- **Practice address phone:** (978) 277-8099
- **Mailing address:** 496 HEALD RD, CARLISLE, MA 01741-1418
- **Mailing address phone:** (978) 369-4248

## Taxonomy

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

## Other

- **Enumeration date:** 05/10/2019
- **Last updated:** 05/10/2019