Provider Demographics
NPI:1124247218
Name:MD ACUPUNCTURE & HERBAL MEDICINE
Entity type:Organization
Organization Name:MD ACUPUNCTURE & HERBAL MEDICINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WANYING
Authorized Official - Middle Name:
Authorized Official - Last Name:HOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-581-1777
Mailing Address - Street 1:20 CROSSROADS DR
Mailing Address - Street 2:SUITE 11
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5419
Mailing Address - Country:US
Mailing Address - Phone:410-581-1777
Mailing Address - Fax:610-793-1999
Practice Address - Street 1:9 TRAYLOR DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-6791
Practice Address - Country:US
Practice Address - Phone:410-581-1777
Practice Address - Fax:610-793-1999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU643171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty