Walter Scott Ma, Lac

NPI 1558795013 - Clinic/Center - 261Q00000X

NPI Details
NPI 1558795013
Enumeration Date 09/02/2013
Last Updated 09/02/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name W W
Position OWNER
Phone (443) 904-0364
Fax
Practice Location
6 PARKS AVE
COCKEYSVILLE MD, 21030-4937, US
Phone (443) 904-0364
Fax
Business Location
12282 BONMOT PL
REISTERSTOWN MD, 21136-1739, US
Phone (443) 904-0364
Fax
Toxanomy
Taxonomy Code 261Q00000X
License State Maryland
License Number U01697
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According to our database, Walter Scott Ma, Lac NPI is 1558795013, taxonomy code is 261Q00000X and license number is U01697, license state is located at Maryland. Walter Scott Ma, Lac physically located at 6 Parks Ave, Cockeysville MD, 21030-4937. NPI Number 1033115704 has the healthcare provider type.

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1558795013 NPI number is provided on an as is basis without warranty of any kind. 1558795013 is maintained by the National Plan & Provider Enumeration System. The contents of Walter Scott Ma, Lac are for informational purposes only.