Basic Information
Provider Information
NPI: 1730478520
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TANG
FirstName: YING
MiddleName: MARGIE
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 77 BRANT AVENUE
Address2: SUITE 200
City: CLARK
State: NJ
PostalCode: 070662496
CountryCode: US
TelephoneNumber: 9739726056
FaxNumber: 9739723129
Practice Location
Address1: 525 CENTRAL AVE STE C
Address2:  
City: WESTFIELD
State: NJ
PostalCode: 070902545
CountryCode: US
TelephoneNumber: 9082330895
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/01/2011
LastUpdateDate: 11/08/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RG0100X25MA10124600NJY Allopathic & Osteopathic PhysiciansInternal MedicineGastroenterology

No ID Information.


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