Provider Demographics
NPI:1679449664
Name:MAINE ZEN DEN ACUPUNCTURE & WELLNESS
Entity type:Organization
Organization Name:MAINE ZEN DEN ACUPUNCTURE & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:CHARLSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN, L AC
Authorized Official - Phone:207-515-2601
Mailing Address - Street 1:383 US ROUTE 1 STE 2B
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-9843
Mailing Address - Country:US
Mailing Address - Phone:207-515-2601
Mailing Address - Fax:207-910-5090
Practice Address - Street 1:383 US ROUTE 1 STE 2B
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-9843
Practice Address - Country:US
Practice Address - Phone:207-515-2601
Practice Address - Fax:207-910-5090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center