Provider Demographics
NPI:1023085263
Name:HAO, TONG KAREN (MD)
Entity type:Individual
Prefix:
First Name:TONG
Middle Name:KAREN
Last Name:HAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 MAIDEN CHOICE LN
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-5968
Mailing Address - Country:US
Mailing Address - Phone:410-737-8838
Mailing Address - Fax:410-314-7979
Practice Address - Street 1:3000 ESSEX RD
Practice Address - Street 2:
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07753-2631
Practice Address - Country:US
Practice Address - Phone:732-643-2070
Practice Address - Fax:732-643-2015
Is Sole Proprietor?:No
Enumeration Date:2006-03-07
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07939400207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
5221142040OtherBCBS OF NJ
04-09807OtherEVERCARE
NJ0206229Medicaid
52-2117147OtherTRICARE NORTH
A424OtherBCBS OF NJ
52-2117147OtherTRICARE NORTH
100104XNMMedicare PIN
I51341Medicare UPIN
100104MVKMedicare PIN
P00303442Medicare PIN