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Organization
JOHNNY MAO, MD PC
Active
Organization
JOHNNY MAO, MD PC
Active
Other names
Mao Facial Plastic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNNY MAO MD (PRESIDENT)
(203) 907-0501
Entity
Organization
Contact information
Practice address
200 S ORANGE CENTER RD, ORANGE, CT 06477-3349
(203) 907-0501
(203) 907-0503
Mailing address
200 S ORANGE CENTER RD, ORANGE, CT 06477-3349
(203) 907-0501
(203) 907-0503
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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