Alicia Demartin, MSOM L.AC.

Individual provider Active NPI Acupuncturist · Westbrook, CT

NPI 1710169339 · NPPES record last updated Apr 21, 2021

Key facts

NPI
1710169339
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
0579 (CT)
Practice address
1921 Boston Post Rd Ste 3
Westbrook, CT 06498-2171
Phone
(860) 661-5824
Fax
(860) 661-5843
NPI assigned
Dec 5, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0579CTMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 0579 CT Yes

Addresses

Primary practice location

1921 Boston Post Rd Ste 3
Westbrook, CT 06498-2171

Mailing address

125 Kirtland St
Deep River, CT 06417-1817
Phone (860) 581-3286

Other practice location 1

952 Boston Post Rd
Madison, CT 06443-3235
Phone (860) 767-7770

Other practice location 2

28 Main St
Essex, CT 06426
Phone (860) 767-7770

Other names

  • Alicia Demartin Former name

Other providers in Westbrook, CT

All providers in Westbrook, CT · Acupuncturist in Connecticut

Sources for this page

Verify at the official NPI Registry.