Provider Demographics
NPI:1194552364
Name:A FAMILY ACUPUNCTURE LLC
Entity type:Organization
Organization Name:A FAMILY ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:
Authorized Official - Last Name:HONG
Authorized Official - Suffix:
Authorized Official - Credentials:OMD
Authorized Official - Phone:443-420-3120
Mailing Address - Street 1:8585 BALTIMORE NATIONAL PIKE
Mailing Address - Street 2:8585 BALTIMORE NATIONAL PIKE. SUITE #1
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-4286
Mailing Address - Country:US
Mailing Address - Phone:443-420-3120
Mailing Address - Fax:
Practice Address - Street 1:8585 BALTIMORE NATIONAL PIKE
Practice Address - Street 2:8585 BALTIMORE NATIONAL PIKE. SUITE #1
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-4286
Practice Address - Country:US
Practice Address - Phone:443-420-3120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty