Individual
QING J CAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
424 S 56TH ST STE 120, PHOENIX, AZ 85034-2177
(602) 685-5166
(480) 478-8091
Mailing address
280 CHESTNUT ST, 2ND FLOOR, SPRINGFIELD, MA 01199-1000
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
213031
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
72308
AZ
Other
Enumeration date
09/26/2006
Last updated
03/27/2024
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