Healthcare Provider Details

I. General information

NPI: 1497174833
Provider Name (Legal Business Name): DAWN FURFARO M.AC, L.AC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DAWN FURFARO-STRODE M.AC, L.AC

II. Dates (important events)

Enumeration Date: 04/14/2014
Last Update Date: 04/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8955 GUILFORD RD SUITE 240
COLUMBIA MD
21046-2651
US

IV. Provider business mailing address

5711 CEDAR LN
COLUMBIA MD
21044-2912
US

V. Phone/Fax

Practice location:
  • Phone: 443-393-2650
  • Fax:
Mailing address:
  • Phone: 914-490-7188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberU02150
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: