Michael Anthony Perfetto, M.O.M., L.AC.

Individual provider Active NPI Acupuncturist · Sandy Spring, MD

NPI 1104227701 · NPPES record last updated Sep 15, 2014

Key facts

NPI
1104227701
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
U02194 (MD)
Practice address
808 Olney Sandy Spring Rd
Sandy Spring, MD 20860-1055
Phone
(301) 704-9938
NPI assigned
Sep 15, 2014
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
U02194MDMDAcupuncturist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X U02194 MD Yes

Addresses

Primary practice location

808 Olney Sandy Spring Rd
Sandy Spring, MD 20860-1055

Mailing address

1509 Rainbow Dr
Silver Spring, MD 20905-4142
Phone (301) 704-9938

Other providers in Sandy Spring, MD

All providers in Sandy Spring, MD · Acupuncturist in Maryland

Sources for this page

Verify at the official NPI Registry.