MEDICARE: MS. STEPHANIE SAVASTA LIC. AC

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	239661	MA

General Provider Information

NPI Number	:	1821321555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. STEPHANIE SAVASTA LIC. AC

Provider Business Mailing Address
First Line	:	11 EDEN ST
Second Line	:
City	:	SALEM
State	:	MA
Zip	:	01970-4706
Country	:	US
Telephone Number	:	808-268-8072
Fax Number	:

Provider Business Practice Location Address
First Line	:	564 LORING AVE STE 4
Second Line	:
City	:	SALEM
State	:	MA
Zip	:	01970-4276
Country	:	US
Telephone Number	:	808-268-8072
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2009
Last Update Date	:	03/17/2018

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