Provider Demographics
NPI:1497275044
Name:DR. TANG MEDICAL OFFICE PC
Entity Type:Organization
Organization Name:DR. TANG MEDICAL OFFICE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:XIANGNA
Authorized Official - Middle Name:
Authorized Official - Last Name:TANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-248-7633
Mailing Address - Street 1:76 CAMBRIDGE AVE
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-5125
Mailing Address - Country:US
Mailing Address - Phone:347-248-7633
Mailing Address - Fax:
Practice Address - Street 1:76 CAMBRIDGE AVE
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-1153
Practice Address - Country:US
Practice Address - Phone:347-248-7633
Practice Address - Fax:347-248-7633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-25
Last Update Date:2017-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal MedicineGroup - Single Specialty