Alexander Kisselgof, LICAC
Alexander Kisselgof, LICAC is an Undefined Non-Physician Type (Specify) in Vineyard Haven, Massachusetts. Qualified in 1998, 28 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Massachusetts.
- Years since qualifying
- 28
- Licensed in
- MA
- In the registry since
- 2007
Practice location Address checks out
20 Elm StVineyard Haven, MA 02568-0933
Phone: (508) 693-3060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acupuncturist (primary) | Taxonomy 171100000X · Licence 672 (MA) |
|---|
Record details
| NPI number | 1356545735 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LICAC |
| Sole proprietor | Yes |
| NPI enumerated | June 12, 2007 |
| Last updated in NPPES | July 8, 2007 |
Medicare enrollment
| Medicare specialty | UNDEFINED NON-PHYSICIAN TYPE (SPECIFY) |
|---|---|
| Medical school | OTHER |
| Graduated | 1998 (28 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Vineyard Haven
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MS. Nancy B. Gilfoy, LICAC
52 Central Ave, Vineyard Haven, MA 02568-0924 · (508) 696-5890
-
Fae E Kontje-Gibbs, LICAC
86 N William St, Vineyard Haven, MA 02568-5436 · (508) 693-6993
-
Marcia Mueller, LICAC
455 State Rd Unit 12, Vineyard Haven, MA 02568-5695 · (774) 563-9016
-
Elina Fishman Savage
20 Surveyors Ln, Vineyard Haven, MA 02568 · (508) 314-1478
-
Jodie Anne Treloar
24 Andrews Rd, Vineyard Haven, MA 02568 · (508) 677-5981