Provider Demographics
NPI:1881754794
Name:HO, LINDEN D (MD)
Entity type:Individual
Prefix:
First Name:LINDEN
Middle Name:D
Last Name:HO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:100 CRAIG RD
Mailing Address - Street 2:SUITE 204
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-8787
Mailing Address - Country:US
Mailing Address - Phone:732-683-1071
Mailing Address - Fax:732-683-1070
Practice Address - Street 1:717 N BEERS ST
Practice Address - Street 2:SUITE 2A
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1524
Practice Address - Country:US
Practice Address - Phone:732-739-0660
Practice Address - Fax:732-739-1406
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2012-05-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA04495200207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ39933300Medicaid
NJ39933300Medicaid
454148PSRMedicare ID - Type Unspecified