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Individual

TANJA PHUL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
312 BURNSIDE ST, ANNAPOLIS, MD 21403-2412
(443) 949-8065
Mailing address
312 BURNSIDE ST, ANNAPOLIS, MD 21403-2412
(443) 949-8065

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U01826
MD

Other

Enumeration date
11/13/2010
Last updated
11/13/2010
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