Individual
JULIE TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2301 S BROAD ST, PHILADELPHIA, PA 19148-3542
(215) 952-9000
Mailing address
2940 SANDYFORD AVE, PHILADELPHIA, PA 19152-4414
(215) 952-9000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP021487
PA
Other
Enumeration date
12/14/2021
Last updated
12/26/2023
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