Provider Demographics
NPI:1992965644
Name:MISIORSKI, MARCIA J (LIC AC)
Entity type:Individual
Prefix:
First Name:MARCIA
Middle Name:J
Last Name:MISIORSKI
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223C MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BOXFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01921-2222
Mailing Address - Country:US
Mailing Address - Phone:978-561-1619
Mailing Address - Fax:
Practice Address - Street 1:223C MAIN ST
Practice Address - Street 2:
Practice Address - City:BOXFORD
Practice Address - State:MA
Practice Address - Zip Code:01921-2222
Practice Address - Country:US
Practice Address - Phone:978-561-1619
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA221190171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist