| Cheng-an Mao, Md, Llc | |
|
871 Allwood Rd Clifton NJ 07012-1943 | |
| (862) 249-4904 | |
| (862) 249-4903 |
| Full Name | Cheng-an Mao, Md, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 871 Allwood Rd, Clifton, New Jersey |
| Authorized Official Name and Position | Cheng-an Mao (M.D.) |
| Authorized Official Contact | 8622494904 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cheng-an Mao, Md, Llc 871 Allwood Rd Clifton NJ 07012-1943 Ph: (862) 249-4904 | Cheng-an Mao, Md, Llc 871 Allwood Rd Clifton NJ 07012-1943 Ph: (862) 249-4904 |
| NPI Number | 1750393823 |
|---|---|
| Provider Enumeration Date | 08/13/2006 |
| Last Update Date | 09/07/2010 |
| Medicare PECOS PAC ID | 2466641972 |
|---|---|
| Medicare Enrollment ID | O20110114000547 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750393823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA062794 (New Jersey) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | 25MA062794 (New Jersey) | Primary |
| Provider Name | Cheng-an Mao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003854761 PECOS PAC ID: 0840242038 Enrollment ID: I20050216000223 |
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