Doctor Name: | LEI TANG |
NPI Number: | 1013397983 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 26NJ00569700 |
Business Practice Address: | 110 Rehill Ave Somerville, NJ - 088762519 |
Business Phone Number: | 9089278780 |
Business Fax Number: | |
Mailing Address: | Po Box 7349, HILLSBOROUGH |
State: | NJ |
Postal Code: | 088447349 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/04/2015 |
NPI Last Update Date: | 06/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 26NJ00569700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |