| Park Avenue Chiropractic | |
|
18 Park Ave Mount Airy MD 21771-5438 | |
| (301) 703-8230 | |
| (301) 703-8219 |
| Full Name | Park Avenue Chiropractic |
|---|---|
| Speciality | Clinic/center |
| Location | 18 Park Ave, Mount Airy, Maryland |
| Authorized Official Name and Position | Ji Woon Ryu (CHIROPRACTOR) |
| Authorized Official Contact | 3017038230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Avenue Chiropractic 25925 Largo Ct Damascus MD 20872-2024 Ph: (607) 423-0452 | Park Avenue Chiropractic 18 Park Ave Mount Airy MD 21771-5438 Ph: (301) 703-8230 |
| NPI Number | 1609645035 |
|---|---|
| Provider Enumeration Date | 12/27/2023 |
| Last Update Date | 12/27/2023 |
| Certification Date | 12/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609645035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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