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Organization
ACUPUNCTURE & WELLNESS LLC
Active
Organization
ACUPUNCTURE & WELLNESS LLC
Active
Other names
Dr. Park Acupuncture
Organization subpart
No
Provider details
NPI number
Authorized official
SEOK PARK PH.D., L.AC. (CLINIC DIRECTOR/OWNER)
(410) 997-0390
Entity
Organization
Contact information
Practice address
5550 STERRETT PL, SUITE 303, COLUMBIA, MD 21044-2611
(410) 997-0390
(410) 885-4744
Mailing address
5550 STERRETT PL, SUITE 303, COLUMBIA, MD 21044-2611
(410) 997-0390
(410) 885-4744
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U01592
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
551510600
MEDICAL ASSISTANCE
MD
01
—
C7VJS 92173902
CAREFIRST
MD
01
—
Y300-0001
CAREFIRST
DC
Enumeration date
06/08/2011
Last updated
12/06/2012
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