Provider Demographics
NPI:1063746121
Name:JIAO, JOSEPH HT (OMD, LAC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:HT
Last Name:JIAO
Suffix:
Gender:M
Credentials:OMD, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14731 GOOD HOPE RD.
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905
Mailing Address - Country:US
Mailing Address - Phone:240-838-0770
Mailing Address - Fax:301-947-4090
Practice Address - Street 1:14731 GOOD HOPE RD.
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20905
Practice Address - Country:US
Practice Address - Phone:240-838-0770
Practice Address - Fax:301-947-4090
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-22
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU00429171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist