Individual
DR. CHENG-AN MAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
871 ALLWOOD RD, CLIFTON, NJ 07012-1943
(862) 249-4904
(862) 249-4903
Mailing address
871 ALLWOOD RD, CLIFTON, NJ 07012-1943
(862) 249-4904
(862) 249-4903
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA062794
NJ
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
25MA062794
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080182037
RAILROAD MEDICARE
—
01
—
10212
AMERIGROUP
—
01
—
133674
AETNA CAPITATION
—
01
—
1984962
UHC
—
01
—
2189814001
AMERIHEALTH
—
01
—
2K1553
HEALTHNET
—
01
—
5120373
AETNA
—
01
—
5998308
GHI
—
01
—
60034428
HORIZON NJ HEALTH
—
01
—
677235
AETNA HMO
—
05
—
6955002
—
NJ
01
—
P2540460
OXFORD
—
01
—
PS000004003
AMERICHOICE
—
Enumeration date
06/03/2006
Last updated
06/10/2010
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