Alexander Kisselgof, LIC. AC.
NPI #1356545735 in Vineyard Haven, Massachusetts
Provider Information
- NPI Number
- 1356545735
- Entity Type
- Individual
- Name
- Alexander Kisselgof, LIC. AC.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Acupuncturist
- Credential
- LIC. AC.
- Enumeration Date
- Jun 12, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 20 ELM STREET
- City
- Vineyard Haven
- State
- Massachusetts
- ZIP Code
- 02568-0933
- Phone
- (508) 693-3060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Acupuncturist |
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