Provider Demographics
NPI:1265526503
Name:CHEN, GUI FANG (LICENSE ACUPUNCTURIS)
Entity type:Individual
Prefix:DR
First Name:GUI FANG
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:LICENSE ACUPUNCTURIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9075 SHADY GROVE CT
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-1301
Mailing Address - Country:US
Mailing Address - Phone:301-838-0524
Mailing Address - Fax:301-838-9575
Practice Address - Street 1:9075 SHADY GROVE CT
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-1301
Practice Address - Country:US
Practice Address - Phone:301-838-0524
Practice Address - Fax:301-838-9575
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2021-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU00545171100000X
DCAC32171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist