Individual
JUN J MAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1429 1ST AVE, NEW YORK, NY 10021-3302
(646) 888-0866
Mailing address
1429 1ST AVE, NEW YORK, NY 10021-3302
(646) 888-0866
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD422079
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008339840001
—
PA
Enumeration date
06/18/2006
Last updated
05/05/2016
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