Organization
STONE MOUNTAIN MEDICINE-ACUPUNCTURE
Active
Organization
STONE MOUNTAIN MEDICINE-ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FITZGERALD (LICENSED ACUPUNCTURIST)
(510) 549-9905
Entity
Organization
Contact information
Practice address
1533 SHATTUCK AVE, BERKELEY, CA 94709-1516
(510) 549-9905
Mailing address
1533 SHATTUCK AVE, BERKELEY, CA 94709-1516
(510) 549-9905
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
8691
CA
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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