MEDICARE: STEPPING STONE ACUPUNCTURE & WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	254238	MA
2	171100000X	Acupuncturist	245805	MA

General Provider Information

NPI Number	:	1780075234
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEPPING STONE ACUPUNCTURE & WELLNESS LLC

Provider Business Mailing Address
First Line	:	316 WASHINGTON ST
Second Line	:	SUITE #1
City	:	WELLESLEY
State	:	MA
Zip	:	02481-4955
Country	:	US
Telephone Number	:	781-898-4083
Fax Number	:	781-489-3423

Provider Business Practice Location Address
First Line	:	316 WASHINGTON ST
Second Line	:	SUITE #1
City	:	WELLESLEY
State	:	MA
Zip	:	02481-4955
Country	:	US
Telephone Number	:	781-898-4083
Fax Number	:	781-489-3423

Authorized Official
Title or Position	:	OWNER, LICENSED ACUPUNCTURIST
Name	:	MARCIA PORTER GRIFFITH
Credential	:	LIC.AC, MAOM
Telephone Number	:	781-898-4083

Provider Enumeration Date	:	02/05/2015
Last Update Date	:	02/05/2015

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