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NPI Code Detail

MEDICARE: DR. CARLOS LAO M.D.

MEDICARE: DR. CARLOS LAO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician25MA02738300NJ

General Provider Information

NPI Number : 1215907068
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CARLOS LAO M.D.
Provider Business Mailing Address
First Line : 328 W SAINT GEORGES AVE
Second Line :
City : LINDEN
State : NJ
Zip : 07036-5638
Country : US
Telephone Number : 908-925-7519
Fax Number : 908-925-2842
Provider Business Practice Location Address
First Line : 328 W SAINT GEORGES AVE
Second Line :
City : LINDEN
State : NJ
Zip : 07036-5638
Country : US
Telephone Number : 908-925-2273
Fax Number : 908-925-2235
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 02/17/2025

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Directions to “ DR. CARLOS LAO M.D.” Practice Location

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