Provider Demographics
NPI:1235343724
Name:ZHAO, WEI Z (ACUPUNCTURIST LIC)
Entity Type:Individual
Prefix:
First Name:WEI
Middle Name:Z
Last Name:ZHAO
Suffix:
Gender:F
Credentials:ACUPUNCTURIST LIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 TSCHIFFELY SQUARE RD
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-5744
Mailing Address - Country:US
Mailing Address - Phone:301-869-9149
Mailing Address - Fax:
Practice Address - Street 1:60 MARKET ST STE 215
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-6559
Practice Address - Country:US
Practice Address - Phone:301-233-6131
Practice Address - Fax:301-963-9330
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU01015171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist