# TAN'S TCM CENTER

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

## Provider details

- **NPI number:** 1386062206
- **Authorized official:** MR. JIANG TAN L.AC (LICENSED ACUPUNCTURIST)
- **Authorized official phone:** (301) 874-5658

## Contact information

- **Practice address:** 3520 WORTHINGTON BLVD \# 101, FREDERICK, MD 21704-7014
- **Practice address phone:** (301) 874-5658
- **Mailing address:** 3520 WORTHINGTON BLVD \#101, FREDERICK, MD 21704
- **Mailing address phone:** (301) 874-5658

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | U00712 | MD | Yes |

## Other

- **Enumeration date:** 03/29/2014
- **Last updated:** 03/29/2014