Active NPIIndividual provider

Stas Gavronsky, LIC AC

Acupuncturist in Newton Centre, Massachusetts

NPI Number1245414929
Practice location
23 Pleasant St, Newton Centre, MA 02459-1836
Fax
—
Last updated
December 18, 2007

Stas Gavronsky is an Acupuncturist based in Newton Centre, MA. Stas Gavronsky practices in Newton Centre, MA and has the professional credentials of LIC AC. The NPI Number for Stas Gavronsky is 1245414929 and holds a License No. 408 (MA). The current practice location address for Stas Gavronsky is 23 Pleasant St, Newton Centre, MA 02459-1836 and can be reached out via phone at 617-630-8508.

Provider Profile Details

NPI Number
1245414929
Provider Name
Stas Gavronsky
Credential
LIC AC
Provider Entity Type
Individual
Gender
Male
Address
23 Pleasant St, Newton Centre, MA 02459-1836
Phone Number
617-630-8508
Primary Taxonomy
Acupuncturist · 171100000X
Sole Proprietor
No
Provider Enumeration Date
December 18, 2007
Last Update Date
December 18, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
23 Pleasant St
Newton Centre, MA 02459-1836
Zip
02459-1836
Phone Number
617-630-8508
Newton Centre, MA 02459Get directions →

Provider Business Mailing Address Details

Address
39 Wayland Hills RD
Wayland, MA 01778-3820
City
Wayland
State
MA
Zip
01778-3820
Phone Number
617-630-8508

License Information

License Number
408
License State
MA
Taxonomy
Acupuncturist · 171100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stas Gavronsky, LIC AC?

The NPI number of Stas Gavronsky, LIC AC is 1245414929. It was assigned on December 18, 2007 and is currently active in the NPPES registry.

What is the specialty of Stas Gavronsky, LIC AC?

Stas Gavronsky, LIC AC is registered under the primary taxonomy Acupuncturist (code 171100000X), licensed in MA under license number 408.

Where does Stas Gavronsky, LIC AC practice?

The practice location is 23 Pleasant St, Newton Centre, MA 02459-1836. The office can be reached at 617-630-8508 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245414929 directly on the NPPES registry website.

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