Healthcare Provider Details

I. General information

NPI: 1013367994
Provider Name (Legal Business Name): RONG TANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2016
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 ALUMNI DR STE 301
EXETER NH
03833-2123
US

IV. Provider business mailing address

4 ALUMNI DR
EXETER NH
03833-2118
US

V. Phone/Fax

Practice location:
  • Phone: 603-775-7405
  • Fax: 603-775-7424
Mailing address:
  • Phone: 603-775-7405
  • Fax: 603-775-7424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number22711
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number22711
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: