# ELLICOTT CIR ACUPUNCTURE LLC

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

## Provider details

- **NPI number:** 1528544079
- **Authorized official:** JINFANG MA PHD (DR.)
- **Authorized official phone:** (443) 756-0563

## Contact information

- **Practice address:** 5054 DORSEY HALL DR, ELLICOTT CITY, MD 21042-7744
- **Practice address phone:** (443) 756-0563
- **Practice address fax:** (888) 885-9685
- **Mailing address:** 10569 OLD ELLICOTT CIR, ELLICOTT CITY, MD 21042-2277
- **Mailing address phone:** (443) 756-0563
- **Mailing address fax:** (888) 885-9685

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | U02370 | MD | Yes |

## Other

- **Enumeration date:** 07/18/2018
- **Last updated:** 07/18/2018