Provider Demographics
NPI:1962268391
Name:HARMONY FUNCTIONAL WELLNESS LLC
Entity type:Organization
Organization Name:HARMONY FUNCTIONAL WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:LEUNG-DOON
Authorized Official - Last Name:WONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-892-2298
Mailing Address - Street 1:11325 SEVEN LOCKS RD STE 280
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-3205
Mailing Address - Country:US
Mailing Address - Phone:240-507-5110
Mailing Address - Fax:
Practice Address - Street 1:11325 SEVEN LOCKS RD STE 280
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-3205
Practice Address - Country:US
Practice Address - Phone:240-507-5110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center