Individual
AYLMER C TANG
Active
Individual
AYLMER C TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD074199L
PA
207RC0000X
Cardiovascular Disease Physician
MD074199L
PA
207RI0011X
Interventional Cardiology Physician
Primary
MD074199L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001857629 0002
—
PA
01
—
1007307260040
MEDICAID GROUP #
PA
01
—
285049
UNISON
PA
01
—
50089141
CAPITAL BLUECROSS
PA
01
—
MD074199L
LICENSE
PA
Enumeration date
08/09/2005
Last updated
09/08/2021
Update your record
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