Individual
MR. JACK GORFIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, L.AC.
Contact information
Practice address
967 W LAKE AVE, GUILFORD, CT 06437-1349
(203) 530-9908
Mailing address
967 W LAKE AVE, GUILFORD, CT 06437-1349
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
000192
CT
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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