Individual
BETH HERZIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
500 FOREST AVE, SUITE 2A, PORTLAND, ME 04101-1541
(207) 775-2059
Mailing address
519 STEVENS AVE, #1, PORTLAND, ME 04103-2637
(207) 671-6289
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC238
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
079159
ANTHEM PIN #
ME
Enumeration date
11/06/2006
Last updated
07/08/2007
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