Individual
MR. TEP M KANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCPS
Contact information
Practice address
20 CLEMSON DR, GARNET VALLEY, PA 19061-1621
(610) 358-2235
Mailing address
4755 OGLETOWN-STANTON ROAD, NEWARK, DE 19718-0001
(302) 733-6333
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
Primary
A1-002858
DE
Other
Enumeration date
07/11/2007
Last updated
07/11/2007
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