Provider Demographics
NPI:1588102677
Name:ACUCARE THERAPY, LLC
Entity type:Organization
Organization Name:ACUCARE THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/COO
Authorized Official - Prefix:
Authorized Official - First Name:FANG
Authorized Official - Middle Name:
Authorized Official - Last Name:TIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-983-4188
Mailing Address - Street 1:8304 BRINK RD
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20882-1000
Mailing Address - Country:US
Mailing Address - Phone:240-805-5751
Mailing Address - Fax:
Practice Address - Street 1:8304 BRINK RD
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20882-1000
Practice Address - Country:US
Practice Address - Phone:240-805-5751
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-08
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02306171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty