Organization
KARISA GRUDI ACUPUNCTURE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARISA A. GRUDI L.AC. (OWNER)
(201) 417-2541
Entity
Organization
Contact information
Practice address
744 DULANEY VALLEY RD, SUITE 2, TOWSON, MD 21204-5132
(201) 417-2541
(410) 337-8800
Mailing address
707 YORK RD, APT 5202, TOWSON, MD 21204-2546
(201) 417-2541
(410) 337-8812
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U01659
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U01659
STATE LICENSE
MD
Enumeration date
05/04/2015
Last updated
05/04/2015
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