Provider Demographics
NPI:1285844951
Name:TROISI, MARCIE D (MAOM, LIC AC, DIPL)
Entity Type:Individual
Prefix:
First Name:MARCIE
Middle Name:D
Last Name:TROISI
Suffix:
Gender:F
Credentials:MAOM, LIC AC, DIPL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 MAYFLOWER RD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-3617
Mailing Address - Country:US
Mailing Address - Phone:781-729-4465
Mailing Address - Fax:
Practice Address - Street 1:10 CONVERSE PL
Practice Address - Street 2:WINCHESTER NATURAL HEALTH ASSOCIATES
Practice Address - City:WINCHESTER
Practice Address - State:MA
Practice Address - Zip Code:01890-2713
Practice Address - Country:US
Practice Address - Phone:781-721-4585
Practice Address - Fax:781-569-0405
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA223678171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist