Provider Demographics
NPI:1235824111
Name:WON BUDDHISM BOWHUADANG USA INC
Entity Type:Organization
Organization Name:WON BUDDHISM BOWHUADANG USA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SEUNGLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SEO
Authorized Official - Suffix:
Authorized Official - Credentials:PH D
Authorized Official - Phone:301-335-7279
Mailing Address - Street 1:11313 DUNLEITH PL
Mailing Address - Street 2:
Mailing Address - City:NORTH POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20878-2566
Mailing Address - Country:US
Mailing Address - Phone:301-335-7279
Mailing Address - Fax:
Practice Address - Street 1:14650 ROTHGEB DR STE D
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-5391
Practice Address - Country:US
Practice Address - Phone:240-477-3866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center