Organization
SOURCE POINT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYME MIDDLE GIGLIOTTI L.AC. (LICENSED ACUPUNCTURIST)
(443) 398-1083
Entity
Organization
Contact information
Practice address
107 E MAPLE RD, LINTHICUM, MD 21090-2513
(443) 398-1083
(410) 684-3940
Mailing address
2985 NORMANDY DR, ELLICOTT CITY, MD 21043-3345
(443) 398-1083
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U-000742
MD
Other
Enumeration date
11/18/2010
Last updated
11/18/2010
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