Provider Demographics
NPI:1558810630
Name:TANGUAY, ASHLEY (PA-C)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:
Last Name:TANGUAY
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:360 US HIGHWAY 1 BYP UNIT 102
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7105
Mailing Address - Country:US
Mailing Address - Phone:603-410-6700
Mailing Address - Fax:603-319-8308
Practice Address - Street 1:999 DALTON AVE
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-2903
Practice Address - Country:US
Practice Address - Phone:413-242-6577
Practice Address - Fax:413-242-6637
Is Sole Proprietor?:No
Enumeration Date:2016-09-29
Last Update Date:2025-05-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MAPA5901363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant