Provider Demographics
NPI:1235884552
Name:OPEN CIRCLE ACUPUNCTURE & HEALING INC.
Entity Type:Organization
Organization Name:OPEN CIRCLE ACUPUNCTURE & HEALING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINICAL OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:LICAC
Authorized Official - Phone:508-393-1212
Mailing Address - Street 1:411 W MAIN ST STE 2R
Mailing Address - Street 2:
Mailing Address - City:NORTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01532-2163
Mailing Address - Country:US
Mailing Address - Phone:508-393-1212
Mailing Address - Fax:
Practice Address - Street 1:411 W MAIN ST STE 2R
Practice Address - Street 2:
Practice Address - City:NORTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01532-2163
Practice Address - Country:US
Practice Address - Phone:508-393-1212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-15
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty