Sunyung Roh, | |
7751 Chatfield Ln, Ellicott City, MD 21043-7904 | |
(301) 204-5474 | |
Not Available |
Full Name | Sunyung Roh |
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Gender | Female |
Speciality | Chiropractor |
Location | 7751 Chatfield Ln, Ellicott City, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114205093 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | S03615 (Maryland) | Primary |
Provider Name | Roh Chiropractic Center, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609458751 PECOS PAC ID: 2163821109 Enrollment ID: O20210525002087 |
Mailing Address | Practice Location Address |
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Sunyung Roh, 7751 Chatfield Ln, Ellicott City, MD 21043-7904 Ph: (301) 204-5474 | Sunyung Roh, 7751 Chatfield Ln, Ellicott City, MD 21043-7904 Ph: (301) 204-5474 |
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