Provider Demographics
NPI:1689219461
Name:TOWSON INTEGRATIVE HEALTH LLC
Entity Type:Organization
Organization Name:TOWSON INTEGRATIVE HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:M
Authorized Official - Last Name:ABOSH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:301-523-6078
Mailing Address - Street 1:7505 OSLER DR STE 309
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7739
Mailing Address - Country:US
Mailing Address - Phone:301-523-6078
Mailing Address - Fax:
Practice Address - Street 1:7505 OSLER DR STE 309
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7739
Practice Address - Country:US
Practice Address - Phone:301-523-6078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-15
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty