Individual
DOUGLAS MICHAEL ZANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
302 W SENECA ST, ITHACA, NY 14850-4130
(607) 697-0360
(607) 272-0240
Mailing address
302 W SENECA ST, ITHACA, NY 14850-4130
(607) 697-0360
(607) 272-0240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
264891-1
NY
207Q00000X
Family Medicine Physician
MD20050192
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87020530
—
NM
05
—
88870570
—
CO
05
—
945579
—
AZ
Enumeration date
10/14/2005
Last updated
07/09/2012
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