Organization
PENNY S. TODD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PENNY STEWART TODD M.AC., L.AC. (ACUPUNCTURIST)
(410) 721-5742
Entity
Organization
Contact information
Practice address
2411 CROFTON LN, SUITE 17A, CROFTON, MD 21114-1304
(410) 721-5742
(410) 982-6476
Mailing address
2411 CROFTON LN, SUITE 17A, CROFTON, MD 21114-1304
(410) 721-5742
(410) 982-6476
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U01046
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0W75PS
BCBS
MD
01
—
H829001
FEDERAL BCBS
DC
Enumeration date
10/01/2007
Last updated
06/23/2008
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