MEDICARE: WEI Z ZHAO ACUPUNCTURIST LIC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	U01015	MD

General Provider Information

NPI Number	:	1235343724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WEI Z ZHAO ACUPUNCTURIST LIC.

Provider Business Mailing Address
First Line	:	611 TSCHIFFELY SQUARE RD
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20878-5744
Country	:	US
Telephone Number	:	301-869-9149
Fax Number	:

Provider Business Practice Location Address
First Line	:	60 MARKET ST STE 215
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20878-6559
Country	:	US
Telephone Number	:	301-233-6131
Fax Number	:	301-963-9330

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	07/08/2007

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