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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