MEDICARE: RONGRONG TAO MD

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
1	2084P0804X	Child & Adolescent Psychiatry Physician	40677	TX
2	2084P0804X	Child & Adolescent Psychiatry Physician	MD040760	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811959844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONGRONG TAO MD

Provider Business Mailing Address
First Line	:	PO BOX 418407
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02241-8407
Country	:	US
Telephone Number	:	703-558-1544
Fax Number	:

Provider Business Practice Location Address
First Line	:	2115 WISCONSIN AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20007-2265
Country	:	US
Telephone Number	:	202-944-5400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	09/12/2012

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Directions to “ RONGRONG TAO MD” Practice Location

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