Provider Demographics
NPI:1184942914
Name:FACES ENTERPRISES TOWSON LTD
Entity type:Organization
Organization Name:FACES ENTERPRISES TOWSON LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUTCHINSON
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:410-828-8666
Mailing Address - Street 1:110 WEST RD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-2316
Mailing Address - Country:US
Mailing Address - Phone:410-296-4099
Mailing Address - Fax:410-296-3328
Practice Address - Street 1:894 KENILWORTH DR
Practice Address - Street 2:2ND FLOOR
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-2201
Practice Address - Country:US
Practice Address - Phone:410-828-8666
Practice Address - Fax:410-828-6438
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FACES ENTERPRISES TOWSON LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-05-04
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDUO1214171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty