Healthcare Provider Details

I. General information

NPI: 1871884213
Provider Name (Legal Business Name): KAREN TANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2011
Last Update Date: 07/21/2022
Certification Date: 08/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 E 32ND ST FL 2
NEW YORK NY
10016-6007
US

IV. Provider business mailing address

300 LONGWOOD AVE
BOSTON MA
02115-5724
US

V. Phone/Fax

Practice location:
  • Phone: 212-263-9912
  • Fax:
Mailing address:
  • Phone: 617-355-4956
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number283808
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number274893
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: