Jiao Feng Clinic, Llc | |
1721 University Blvd W Silver Spring MD 20902-3650 | |
(301) 649-5151 | |
Not Available |
Full Name | Jiao Feng Clinic, Llc |
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Speciality | Clinic/Center |
Location | 1721 University Blvd W, Silver Spring, Maryland |
Authorized Official Name and Position | Jiao Feng (DIRECTOR) |
Authorized Official Contact | 3016558218 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jiao Feng Clinic, Llc 9708 Dilston Rd Silver Spring MD 20903-1915 Ph: () - | Jiao Feng Clinic, Llc 1721 University Blvd W Silver Spring MD 20902-3650 Ph: (301) 649-5151 |
NPI Number | 1811751316 |
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Provider Enumeration Date | 02/06/2024 |
Last Update Date | 02/21/2024 |
Medicare PECOS PAC ID | 2163867300 |
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Medicare Enrollment ID | O20240228001068 |
Identifier | Type | State | Issuer |
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1811751316 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Jiao Feng |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326546912 PECOS PAC ID: 9931597440 Enrollment ID: I20240228001150 |
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