Provider Demographics
NPI:1851623003
Name:HIROSHI NAKAZAWA, M.D., P.A.
Entity type:Organization
Organization Name:HIROSHI NAKAZAWA, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HIROSHI
Authorized Official - Middle Name:
Authorized Official - Last Name:NAKAZAWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-744-8505
Mailing Address - Street 1:PO BOX 72
Mailing Address - Street 2:
Mailing Address - City:STEVENSON
Mailing Address - State:MD
Mailing Address - Zip Code:21153-0072
Mailing Address - Country:US
Mailing Address - Phone:410-744-8505
Mailing Address - Fax:
Practice Address - Street 1:516 N ROLLING RD STE 305
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4142
Practice Address - Country:US
Practice Address - Phone:410-744-8505
Practice Address - Fax:410-744-7173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-12
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty