Provider Demographics
NPI:1013123132
Name:CHEN, HUI FANG MAI
Entity Type:Individual
Prefix:MS
First Name:HUI FANG
Middle Name:MAI
Last Name:CHEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HUI FANG
Other - Middle Name:
Other - Last Name:MAI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12505 MONTCLAIR DR.
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904
Mailing Address - Country:US
Mailing Address - Phone:301-680-0756
Mailing Address - Fax:301-760-3427
Practice Address - Street 1:12505 MONTCLAIR DR.
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904
Practice Address - Country:US
Practice Address - Phone:301-680-0756
Practice Address - Fax:301-760-3427
Is Sole Proprietor?:No
Enumeration Date:2007-05-15
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU00364171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist