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Individual

MRS. MARY GE WANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.AC

Contact information

Practice address
4720 HORNBEAM DR, ROCKVILLE, MD 20853-1419
(301) 924-0438
(202) 865-1774
Mailing address
4720 HORNBEAM DR, ROCKVILLE, MD 20853-1419
(301) 924-0438
(202) 865-1774

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC30026
DC
171100000X
Acupuncturist
Primary
U00623
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1006471
ASH
MD
01
1970023
CIGNA, PPO
MD
01
2370341
UH
MD
01
BP21AC
CAREFIRST BLUECROSS BLUES
MD
01
J110-0001
CAREFIRST BLUECROSS BLUES
DC
Enumeration date
10/02/2006
Last updated
07/08/2007
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