Individual
ALEXANDER KISSELGOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LIC. AC.
Contact information
Practice address
20 ELM STREET, VINEYARD HAVEN, MA 02568-0933
(508) 693-3060
Mailing address
PO BOX 4351, VINEYARD HAVEN, MA 02568-0933
(508) 693-3060
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
672
MA
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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