| Doctor Name: | DR. TONY TAN JIANG |
| NPI Number: | 1205169885 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 25MA06699400 |
| Business Practice Address: | 252 Columbia Tpke Florham Park, NJ - 079321248 |
| Business Phone Number: | 9738223338 |
| Business Fax Number: | 9738228098 |
| Mailing Address: | 252 Columbia Tpke, FLORHAM PARK |
| State: | NJ |
| Postal Code: | 079321248 |
| Phone Number: | 9738223338 |
| Fax Number: | 9738228098 |
| NPI Enumeration Date: | 09/14/2009 |
| NPI Last Update Date: | 12/07/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 25MA06699400 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |