Provider Demographics
NPI:1235193871
Name:TANG, XIAOWEN (MD)
Entity Type:Individual
Prefix:
First Name:XIAOWEN
Middle Name:
Last Name:TANG
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:PO BOX 820137
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-0137
Mailing Address - Country:US
Mailing Address - Phone:610-270-2352
Mailing Address - Fax:610-270-2358
Practice Address - Street 1:1301 POWELL ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-3323
Practice Address - Country:US
Practice Address - Phone:610-270-2060
Practice Address - Fax:610-270-2652
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD420962207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2206785000OtherPERSONAL CHOICE/KHPE
PA2206785000OtherAMERIHEALTH/INTERCOUNTY
PA3822299OtherAETNA HMO
PA1008431940002Medicaid
PA1520011OtherHIGHMARK BLUE SHIELD
PA7207625OtherAETNA PPO
PAMD420962OtherHEALTH PARTNERS
PA30025368OtherKEYSTONE MERCY HP
PA9340727OtherCIGNA HMO/PPO
PA9340727OtherCIGNA HMO/PPO
PA7207625OtherAETNA PPO