Provider Demographics
NPI:1083718514
Name:BLAIWAS, DAVID MURRAY (M AC L AC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:MURRAY
Last Name:BLAIWAS
Suffix:
Gender:M
Credentials:M AC L AC
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Mailing Address - Street 1:6935 LAUREL AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-4413
Mailing Address - Country:US
Mailing Address - Phone:301-270-2117
Mailing Address - Fax:301-854-9950
Practice Address - Street 1:6935 LAUREL AVE
Practice Address - Street 2:SUITE 203
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-4413
Practice Address - Country:US
Practice Address - Phone:301-270-2117
Practice Address - Fax:301-854-9950
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDU00594171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist