=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083732184
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ACUMOXIB ALTERNATIVE MEDICINE GROUP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/27/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6308 BELLS MILL RD
-----------------------------------------------------
City | BETHESDA
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20817-1632
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-564-9618
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6308 BELLS MILL ROAD
-----------------------------------------------------
City | BETHESDA
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20817-1632
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-564-9618
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | KUEI-MENG WU
-----------------------------------------------------
Credential | PH.D.
-----------------------------------------------------
Telephone | 301-564-9618
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | 668
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------