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NPI Code Detail

MEDICARE: SANG KWON HONG L.AC.

MEDICARE:   SANG KWON HONG  L.AC.
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
1225700000XMassage TherapistM04274MD
2225700000XMassage Therapist0019008551VA
3171100000XAcupuncturistU02420MD

General Provider Information

NPI Number : 1801224480
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANG KWON HONG L.AC.
Provider Business Mailing Address
First Line : 4010 FONT HILL DR
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21042-5616
Country : US
Telephone Number : 443-812-0857
Fax Number :
Provider Business Practice Location Address
First Line : 4010 FONT HILL DR
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21042-5616
Country : US
Telephone Number : 443-812-0857
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2013
Last Update Date : 04/06/2018

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Directions to “ SANG KWON HONG L.AC.” Practice Location

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