Individual
KE YAN TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1355 BROAD STREET, CLIFTON, NJ 07013
(973) 778-5566
(973) 778-4044
Mailing address
1355 BROAD STREET, CLIFTON, NJ 07013
(973) 778-5566
(973) 778-4044
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
015045
NY
Other
Enumeration date
11/15/2012
Last updated
11/04/2020
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