# SOURCE POINT

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

## Provider details

- **NPI number:** 1366744781
- **Authorized official:** TYME MIDDLE GIGLIOTTI L.AC. (LICENSED ACUPUNCTURIST)
- **Authorized official phone:** (443) 398-1083

## Contact information

- **Practice address:** 107 E MAPLE RD, LINTHICUM, MD 21090-2513
- **Practice address phone:** (443) 398-1083
- **Practice address fax:** (410) 684-3940
- **Mailing address:** 2985 NORMANDY DR, ELLICOTT CITY, MD 21043-3345
- **Mailing address phone:** (443) 398-1083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | U-000742 | MD | Yes |

## Other

- **Enumeration date:** 11/18/2010
- **Last updated:** 11/18/2010