Individual
CASSANDRA TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 WASHINGTON ST, SUITE 341, NEWTON, MA 02462-1650
(617) 964-0024
(617) 964-6374
Mailing address
2000 WASHINGTON ST, SUITE 341, NEWTON, MA 02462-1650
(617) 964-0024
(617) 964-6374
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA5355
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9714502
—
MA
Enumeration date
04/13/2015
Last updated
04/13/2015
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