Provider Demographics
NPI:1194864819
Name:SEREJSKI, ERIC (DIPL AC & CH)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:
Last Name:SEREJSKI
Suffix:
Gender:M
Credentials:DIPL AC & CH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7720 WISCONSIN AVENUE
Mailing Address - Street 2:SUITE 217
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-3529
Mailing Address - Country:US
Mailing Address - Phone:301-913-0345
Mailing Address - Fax:240-846-1533
Practice Address - Street 1:208 W PATRICK STREET
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-5516
Practice Address - Country:US
Practice Address - Phone:240-688-3431
Practice Address - Fax:240-846-1533
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU00485171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist