Organization
CHENG-AN MAO, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHENG-AN MAO M.D. (M.D.)
(862) 249-4904
Entity
Organization
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
Enumeration date
08/13/2006
Last updated
09/07/2010
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