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Organization

DEDHAM ACUPUNCTURE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICOLE LYNN STERN M.AC, LIC.AC (OWNER)
(781) 686-2395
Entity
Organization

Contact information

Practice address
111 EASTERN AVE, DEDHAM, MA 02026-4515
(781) 686-2395
(781) 326-2277
Mailing address
111 EASTERN AVE, DEDHAM, MA 02026-4515
(781) 686-2395
(781) 326-2277

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
216170
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1346685997
UPIN
MA
01
1841487428
NPI
MA
Enumeration date
03/26/2014
Last updated
03/26/2014
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