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NPI Code Detail

MEDICARE: DR. CHANGWON OH

MEDICARE:  DR. CHANGWON  OH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistU02942MD

General Provider Information

NPI Number : 1013643337
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHANGWON OH
Provider Business Mailing Address
First Line : 4806 TEAL WING CT APT 301
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-2193
Country : US
Telephone Number : 240-645-7257
Fax Number :
Provider Business Practice Location Address
First Line : 4806 TEAL WING CT APT 301
Second Line :
City : COLUMBIA
State : MD
Zip : 21045-2193
Country : US
Telephone Number : 240-645-7257
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2022
Last Update Date : 06/10/2026

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Directions to “ DR. CHANGWON OH ” Practice Location

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