Individual
ANNE MAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(267) 858-9424
Mailing address
9 N 9TH ST UNIT 208, PHILADELPHIA, PA 19107-3151
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT220092
PA
Other
Enumeration date
06/23/2020
Last updated
06/23/2020
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