Individual
MR. MARK L FRADKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
9199 REISTERSTOWN RD, SUITE 211C, OWINGS MILLS, MD 21117-4520
(410) 363-7254
(410) 363-7254
Mailing address
9199 REISTERSTOWN RD, SUITE 211C, OWINGS MILLS, MD 21117-4520
(410) 363-7254
(410) 363-7254
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U00323
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U00323
LICENSE
MD
Enumeration date
04/03/2007
Last updated
07/08/2007
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