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Individual

MR. XIAOBO PENG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
414 HUNGERFORD DR STE 200, ROCKVILLE, MD 20850-4125
(240) 714-8569
Mailing address
12828 MACBETH FARM LN, CLARKSVILLE, MD 21029-1555
(240) 714-8569

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02776
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P520928001757
DRIVER LICENSE
MD
01
U02776
STATE BOARD OF ACUPUNCTURE
MD
Enumeration date
11/23/2020
Last updated
07/21/2021
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