Provider Demographics
NPI:1598832230
Name:TANG, XUPING (LIC AC)
Entity Type:Individual
Prefix:
First Name:XUPING
Middle Name:
Last Name:TANG
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 W HOLLIS ST
Mailing Address - Street 2:SUITE 209A
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-1358
Mailing Address - Country:US
Mailing Address - Phone:781-526-7800
Mailing Address - Fax:
Practice Address - Street 1:10 HOLDEN ST
Practice Address - Street 2:SUITE 209A
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-5238
Practice Address - Country:US
Practice Address - Phone:781-526-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA202436171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist