Individual
LEI TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2073 KLOCKNER RD, HAMILTON, NJ 08690-3414
(609) 584-1212
(609) 584-0103
Mailing address
2073 KLOCKNER RD, HAMILTON, NJ 08690-3414
(609) 584-1212
(609) 584-0103
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00569700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0634891
—
NJ
Enumeration date
06/04/2015
Last updated
12/17/2019
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