# YIN TANG ORIENTAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Yin Tang Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356538946
- **Authorized official:** SUNG MI PARK M.AC, L.AC (ACUPUNCTURIST)
- **Authorized official phone:** (443) 857-4192

## Contact information

- **Practice address:** 4747 HALLOWED STRM, ELLICOTT CITY, MD 21042-7902
- **Practice address phone:** (443) 857-4192
- **Mailing address:** 4747 HALLOWED STRM, ELLICOTT CITY, MD 21042-7902
- **Mailing address phone:** (443) 857-4192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | U01546 | MD | Yes |

## Other

- **Enumeration date:** 09/27/2007
- **Last updated:** 09/27/2007
