MEDICARE: XIAOYIN TANG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	25MA07222100	NJ

General Provider Information

NPI Number	:	1437128568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XIAOYIN TANG MD

Provider Business Mailing Address
First Line	:	2240 ROUTE 33
Second Line	:	SUITE B
City	:	NEPTUNE
State	:	NJ
Zip	:	07753-6104
Country	:	US
Telephone Number	:	732-897-3985
Fax Number	:	732-897-3982

Provider Business Practice Location Address
First Line	:	2240 ROUTE 33
Second Line	:	SUITE B
City	:	NEPTUNE
State	:	NJ
Zip	:	07753-6104
Country	:	US
Telephone Number	:	732-897-3985
Fax Number	:	732-897-3982

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	03/27/2014

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