Individual
BO TAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
500 UPPER CHESAPEAKE DR, BEL AIR, MD 21014-4324
(443) 643-1500
Mailing address
42 E LAUREL RD, STRATFORD, NJ 08084-1354
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
H92916
MD
208M00000X
Hospitalist Physician
Primary
H92916
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2018
Last updated
08/29/2022
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