| |
3458 Godspeed Rd, Davidsonville, MD 21035-1303 | |
(301) 518-0711 | |
(410) 956-9039 |
Full Name | |
---|---|
Type | Facility |
Speciality | Acupuncturist |
Location | 3458 Godspeed Rd, Davidsonville, Maryland |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639561731 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
171100000X | Acupuncturist | U00869 (Maryland) | Primary |
Mailing Address | Practice Location Address |
---|---|
2110 Priest Bridge Dr, Suite 3, Crofton, MD 21114-2472 Ph: (410) 721-8221 | 3458 Godspeed Rd, Davidsonville, MD 21035-1303 Ph: (301) 518-0711 |