Whalio Doctors

NPI 1003854761

Cheng-An Mao, MD

Practitioner Geriatric Medicine (Family Medicine) Physician Clifton, NJ

Practice location

Address
871 Allwood Rd, Clifton, NJ 07012-1943
Phone
(862) 249-4904
Fax
(862) 249-4903

Registered specialties (2)

Geriatric Medicine (Family Medicine) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207QG0300X Licence 25MA062794 (NJ)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 25MA062794 (NJ)

Registry record

NPI
1003854761
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Jun 2006
Record last updated
10 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.