# ACUPUNCTURE & WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr. Park Acupuncture
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831483601
- **Authorized official:** SEOK PARK PH.D., L.AC. (CLINIC DIRECTOR/OWNER)
- **Authorized official phone:** (410) 997-0390

## Contact information

- **Practice address:** 5550 STERRETT PL, SUITE 303, COLUMBIA, MD 21044-2611
- **Practice address phone:** (410) 997-0390
- **Practice address fax:** (410) 885-4744
- **Mailing address:** 5550 STERRETT PL, SUITE 303, COLUMBIA, MD 21044-2611
- **Mailing address phone:** (410) 997-0390
- **Mailing address fax:** (410) 885-4744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | U01592 | MD | Yes |

## Other

- **Enumeration date:** 06/08/2011
- **Last updated:** 12/06/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 551510600 | MEDICAL ASSISTANCE | MD |
| 01 | — | C7VJS 92173902 | CAREFIRST | MD |
| 01 | — | Y300-0001 | CAREFIRST | DC |