Provider Demographics
NPI:1770729006
Name:ANTHONY A TANGORRA, JR, PA
Entity type:Organization
Organization Name:ANTHONY A TANGORRA, JR, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:A
Authorized Official - Last Name:TANGORRA
Authorized Official - Suffix:II
Authorized Official - Credentials:DC
Authorized Official - Phone:908-766-1900
Mailing Address - Street 1:334 MOUNT AIRY RD
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-2407
Mailing Address - Country:US
Mailing Address - Phone:908-766-1900
Mailing Address - Fax:908-766-6242
Practice Address - Street 1:334 MOUNT AIRY RD
Practice Address - Street 2:
Practice Address - City:BASKING RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07920-2407
Practice Address - Country:US
Practice Address - Phone:908-766-1900
Practice Address - Fax:908-766-6242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-16
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00139500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty