Provider Demographics
NPI:1205052743
Name:TANG, SHIOW-HUEI (PT, MS, NCS)
Entity type:Individual
Prefix:MS
First Name:SHIOW-HUEI
Middle Name:
Last Name:TANG
Suffix:
Gender:F
Credentials:PT, MS, NCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 BERGEN ST STE 3300
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07103-2425
Mailing Address - Country:US
Mailing Address - Phone:973-972-7187
Mailing Address - Fax:973-972-2815
Practice Address - Street 1:90 BERGEN ST
Practice Address - Street 2:SUITE 3300
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07101-1709
Practice Address - Country:US
Practice Address - Phone:973-972-7187
Practice Address - Fax:973-972-2815
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00339300225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist