Provider Demographics
NPI:1669864559
Name:ANTHONY FELAN SAENZ
Entity Type:Organization
Organization Name:ANTHONY FELAN SAENZ
Other - Org Name:FROM WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACUPUNTURIST
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:FELAN
Authorized Official - Last Name:SAENZ
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:443-739-4158
Mailing Address - Street 1:330 SAINT JOHN ST
Mailing Address - Street 2:FL 1
Mailing Address - City:HAVRE DE GRACE
Mailing Address - State:MD
Mailing Address - Zip Code:21078-2817
Mailing Address - Country:US
Mailing Address - Phone:443-739-4158
Mailing Address - Fax:
Practice Address - Street 1:330 SAINT JOHN ST
Practice Address - Street 2:FL 1
Practice Address - City:HAVRE DE GRACE
Practice Address - State:MD
Practice Address - Zip Code:21078-2817
Practice Address - Country:US
Practice Address - Phone:443-739-4158
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-02
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02181171100000X
MDM04645225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty