Provider Demographics
NPI:1972372290
Name:PMC ACUPUNCTURE CLINC
Entity type:Organization
Organization Name:PMC ACUPUNCTURE CLINC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:MEEHAE
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:DAOM
Authorized Official - Phone:301-312-7717
Mailing Address - Street 1:204 WATKINS POND BLVD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-5733
Mailing Address - Country:US
Mailing Address - Phone:301-312-7717
Mailing Address - Fax:240-235-8191
Practice Address - Street 1:6550 ROCK SPRING DR STE 460
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1132
Practice Address - Country:US
Practice Address - Phone:301-312-7717
Practice Address - Fax:240-235-8191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain