Provider Demographics
NPI:1275583338
Name:STEIN, MONA DEBORAH (LICENSED ACUPUNTURIS)
Entity Type:Individual
Prefix:MS
First Name:MONA
Middle Name:DEBORAH
Last Name:STEIN
Suffix:
Gender:F
Credentials:LICENSED ACUPUNTURIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 RESERVOIR ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-3335
Mailing Address - Country:US
Mailing Address - Phone:617-492-3941
Mailing Address - Fax:
Practice Address - Street 1:42 NONSET PATH
Practice Address - Street 2:
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-3441
Practice Address - Country:US
Practice Address - Phone:978-635-9122
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA200171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist