| NPI | 1750393823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHENG-AN MAO M.D. 862-249-4904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NJ 25MA062794) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NJ 25MA062794) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2010-09-07 |