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NPI Code Detail

MEDICARE: PAK S. TANG, M.D., INC.

MEDICARE: PAK S. TANG, M.D., INC.
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
1207L00000XAnesthesiology Physician11113HI

General Provider Information

NPI Number : 1508051137
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAK S. TANG, M.D., INC.
Provider Business Mailing Address
First Line : PO BOX 1317
Second Line :
City : SCARSDALE
State : NY
Zip : 10583-9317
Country : US
Telephone Number : 914-505-0901
Fax Number : 914-574-5326
Provider Business Practice Location Address
First Line : 508 CENTRAL PARK AVE
Second Line : #5302
City : SCARSDALE
State : NY
Zip : 10583-1059
Country : US
Telephone Number : 914-505-0901
Fax Number : 914-574-5326
Authorized Official
Title or Position : PRESIDENT
Name : DR. PAK S TANG
Credential : M.D.
Telephone Number : 914-505-0901
Provider Enumeration Date : 09/06/2007
Last Update Date : 04/03/2012

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Directions to “PAK S. TANG, M.D., INC. ” Practice Location

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