Mao, Cheng-An
Mao, Cheng-An is an sole proprietor health care provider with primary practice located at 871 Allwood Rd , Clifton NJ 07012-1943. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Mao, Cheng-An can be contacted via phone (862) 249-4904.Contact Information
Primary practice address
871 Allwood Rd
Clifton NJ 07012-1943
Phone: (862) 249-4904
Fax: (862) 249-4903
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MA062794 | New Jersey |
Allopathic & Osteopathic Physicians / Geriatric Medicine | 207QG0300X | 25MA062794 | New Jersey |
Profile Details
NPI number | 1003854761 |
---|---|
LBN Legal business name | Mao, Cheng-An |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 3rd, 2006 |
Last updated | Jun 10th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003854761 | NPPES |
Other | 1984962 | UHC | |
MEDICAID | 6955002 | UHC | |
Other | 10212 | UHC | |
Other | 2189814001 | UHC | |
Other | 60034428 | UHC | |
Other | 080182037 | UHC | |
Other | 133674 | UHC | |
Other | 677235 | UHC | |
Other | P2540460 | UHC | |
Other | 2K1553 | UHC | |
Other | 5998308 | UHC | |
Other | 5120373 | UHC | |
Other | PS000004003 | UHC |
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