Individual
STAS GAVRONSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LIC. AC.
Contact information
Practice address
23 PLEASANT ST, NEWTON CENTRE, MA 02459-1836
(617) 630-8508
Mailing address
39 WAYLAND HILLS RD, WAYLAND, MA 01778-3820
(617) 630-8508
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
408
MA
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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