# ANCIENT ARTS ACUPUNCTURE A CLOSE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063101913
- **Authorized official:** THOMAS INGEGNO LAC (OWNER)
- **Authorized official phone:** (443) 869-6584

## Contact information

- **Practice address:** 907 S LAKEWOOD AVE, BALTIMORE, MD 21224-3815
- **Practice address phone:** (443) 869-6584
- **Practice address fax:** (443) 869-6127
- **Mailing address:** 907 S LAKEWOOD AVE, BALTIMORE, MD 21224-3815
- **Mailing address phone:** (443) 869-6584
- **Mailing address fax:** (443) 869-6127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2023
- **Last updated:** 05/05/2023