MEDICARE: ZHENGDONG TANG

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	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1306604822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZHENGDONG TANG

Provider Business Mailing Address
First Line	:	2201 CANDUN DR STE 104
Second Line	:
City	:	APEX
State	:	NC
Zip	:	27523-6413
Country	:	US
Telephone Number	:	919-725-1778
Fax Number	:	919-516-9725

Provider Business Practice Location Address
First Line	:	2201 CANDUN DR STE 104
Second Line	:
City	:	APEX
State	:	NC
Zip	:	27523-6413
Country	:	US
Telephone Number	:	919-725-1778
Fax Number	:	919-516-9725

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

Provider Enumeration Date	:	03/08/2024
Last Update Date	:	03/08/2024

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Directions to “ ZHENGDONG TANG ” Practice Location

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