| Doctor Name: | BANG CAO TO |
| NPI Number: | 1194019935 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHYSICIAN ASSISTANT |
| License Number: | 014738 |
| Business Practice Address: | 133 Park St Malone, NY - 129531243 |
| Business Phone Number: | 5184833000 |
| Business Fax Number: | |
| Mailing Address: | 23 River St, WINOOSKI |
| State: | VT |
| Postal Code: | 054041919 |
| Phone Number: | 8025782312 |
| Fax Number: | |
| NPI Enumeration Date: | 06/08/2011 |
| NPI Last Update Date: | 06/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 014738 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |