Healthcare Provider Details

I. General information

NPI: 1154861896
Provider Name (Legal Business Name): ACUWORKS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2017
Last Update Date: 02/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8821 COLUMBIA 100 PKWY SUITE 5
COLUMBIA MD
21045-2274
US

IV. Provider business mailing address

513 NEWBURG AVE
CATONSVILLE MD
21228-5840
US

V. Phone/Fax

Practice location:
  • Phone: 410-375-3829
  • Fax:
Mailing address:
  • Phone: 410-375-3829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberU02267
License Number StateMD

VIII. Authorized Official

Name: SAMANTHA KADRMAS
Title or Position: OWNER
Credential:
Phone: 410-375-3829