Individual
HONG GUANG GAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
254 EASTON AVE., PATHOLOGY DEPARTMENT, NEW BRUNSWICK, NJ 08901-0890
(856) 488-6560
(856) 488-6848
Mailing address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 745-8964
(856) 488-6848
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
25MA08423500
NJ
207ZC0500X
Cytopathology Physician
Primary
25MA08423500
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
25MA08423500
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MT187988
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0189626
—
NJ
01
—
P00709956
RR MCR
NJ
01
—
P00807260
RAILROAD MEDICARE
NJ
Enumeration date
01/25/2007
Last updated
06/02/2021
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