Provider Demographics
NPI:1053573022
Name:MEADOW HILL WELLNESS
Entity type:Organization
Organization Name:MEADOW HILL WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRES
Authorized Official - Middle Name:
Authorized Official - Last Name:POLDMAE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-263-0411
Mailing Address - Street 1:53 OLD SOLOMONS ISLAND RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3872
Mailing Address - Country:US
Mailing Address - Phone:410-263-0411
Mailing Address - Fax:410-263-2290
Practice Address - Street 1:53 OLD SOLOMONS ISLAND RD
Practice Address - Street 2:SUITE C
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3872
Practice Address - Country:US
Practice Address - Phone:410-263-0411
Practice Address - Fax:410-263-2290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty