Provider Demographics
NPI:1669059317
Name:HO, WARREN L (MD)
Entity type:Individual
Prefix:
First Name:WARREN
Middle Name:L
Last Name:HO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 MAPLE XING
Mailing Address - Street 2:
Mailing Address - City:GLEN MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19342-3423
Mailing Address - Country:US
Mailing Address - Phone:347-746-9277
Mailing Address - Fax:
Practice Address - Street 1:1376 NANJING WEST RD
Practice Address - Street 2:SUITE 203 WEST TOWER
Practice Address - City:SHANGHAI
Practice Address - State:SHANGHAI
Practice Address - Zip Code:200040
Practice Address - Country:CN
Practice Address - Phone:216-445-5999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-28
Last Update Date:2021-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY214383207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine