MEDICARE: HONG GUANG GAO 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	207ZC0500X	Cytopathology Physician	25MA08423500	NJ
2	207ZC0006X	Clinical Pathology Physician	25MA08423500	NJ
3	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	MT187988	PA
4	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	25MA08423500	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00807260	OTHER	NJ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00709956	OTHER	NJ	RR MCR
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205982162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HONG GUANG GAO MD

Provider Business Mailing Address
First Line	:	254 EASTON AVE
Second Line	:
City	:	NEW BRUNSWICK
State	:	NJ
Zip	:	08901-1766
Country	:	US
Telephone Number	:	732-745-8964
Fax Number	:	856-488-6848

Provider Business Practice Location Address
First Line	:	254 EASTON AVE.
Second Line	:	PATHOLOGY DEPARTMENT
City	:	NEW BRUNSWICK
State	:	NJ
Zip	:	08901-0890
Country	:	US
Telephone Number	:	856-488-6560
Fax Number	:	856-488-6848

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

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	06/02/2021

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Directions to “ HONG GUANG GAO MD” Practice Location

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