Organization
ROCKY COAST FAMILY ACUPUNCTURE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SHER STEIN L.AC. (PRESIDENT)
(207) 775-2059
Entity
Organization
Contact information
Practice address
500 FOREST AVE, SUITE 2A, PORTLAND, ME 04101-1541
(207) 775-2059
Mailing address
500 FOREST AVE, SUITE 2A, PORTLAND, ME 04101-1541
(207) 775-2059
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC237
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061669
ANTHEM PIN #
ME
Enumeration date
03/06/2007
Last updated
08/22/2020
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