Provider Demographics
NPI:1447077524
Name:CHU, MAOLIN (DACHM)
Entity type:Individual
Prefix:DR
First Name:MAOLIN
Middle Name:
Last Name:CHU
Suffix:
Gender:M
Credentials:DACHM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 APPLE BLOSSOM WAY
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-1166
Mailing Address - Country:US
Mailing Address - Phone:240-756-8889
Mailing Address - Fax:
Practice Address - Street 1:603 W PATRICK ST STE B
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4090
Practice Address - Country:US
Practice Address - Phone:301-629-1313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU03106171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist