Provider Demographics
NPI:1528479714
Name:ACUPUNCTURE BY SARAH DAMIANI LLC
Entity type:Organization
Organization Name:ACUPUNCTURE BY SARAH DAMIANI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:DAMIANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-277-9832
Mailing Address - Street 1:1438 DEFENSE HWY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:GAMBRILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21054-2022
Mailing Address - Country:US
Mailing Address - Phone:240-277-9832
Mailing Address - Fax:
Practice Address - Street 1:2124 PRIEST BRIDGE DR STE 10
Practice Address - Street 2:
Practice Address - City:CROFTON
Practice Address - State:MD
Practice Address - Zip Code:21114-2429
Practice Address - Country:US
Practice Address - Phone:240-277-9832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-10
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU01949171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty