Provider Demographics
NPI:1801959507
Name:SOLOMON, STEVEN ANDRE (L AC, DIPL AC)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:ANDRE
Last Name:SOLOMON
Suffix:
Gender:M
Credentials:L AC, DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:600 WYNDHURST AVE.
Mailing Address - Street 2:SUITE 305
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21210
Mailing Address - Country:US
Mailing Address - Phone:410-404-5282
Mailing Address - Fax:410-435-8010
Practice Address - Street 1:600 WYNDHURST AVE.
Practice Address - Street 2:SUITE 305
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21210
Practice Address - Country:US
Practice Address - Phone:410-404-5282
Practice Address - Fax:410-435-8010
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU00910171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist