| Ryu Llc | |
|
18 Park Ave Mount Airy MD 21771-5438 | |
| (301) 703-8230 | |
| (301) 703-8219 |
| Full Name | Ryu Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 18 Park Ave, Mount Airy, Maryland |
| Authorized Official Name and Position | Ji Woon Ryu (CHIROPRACTOR) |
| Authorized Official Contact | 3017038230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ryu Llc 25925 Largo Ct Damascus MD 20872-2024 Ph: (607) 423-0452 | Ryu Llc 18 Park Ave Mount Airy MD 21771-5438 Ph: (301) 703-8230 |
| NPI Number | 1609645035 |
|---|---|
| Provider Enumeration Date | 12/27/2023 |
| Last Update Date | 12/27/2023 |
| Medicare PECOS PAC ID | 1052762143 |
|---|---|
| Medicare Enrollment ID | O20240112003783 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609645035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jiwoon Ryu |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114344900 PECOS PAC ID: 4688025778 Enrollment ID: I20240116002109 |
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