Provider Demographics
NPI:1073955936
Name:TANGUAY, BRANDY L (DVM)
Entity Type:Individual
Prefix:
First Name:BRANDY
Middle Name:L
Last Name:TANGUAY
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4232 DIAMOND HILL RD
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-1508
Mailing Address - Country:US
Mailing Address - Phone:401-334-2765
Mailing Address - Fax:401-334-4795
Practice Address - Street 1:4232 DIAMOND HILL RD
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-1508
Practice Address - Country:US
Practice Address - Phone:401-334-2765
Practice Address - Fax:401-334-4795
Is Sole Proprietor?:No
Enumeration Date:2013-07-20
Last Update Date:2013-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDVM00782174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian