Individual
DR. MARY E TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, FLETCHER ALLEN HEALTH CARE, PATHOLOGY, BURLINGTON, VT 05401-1473
(802) 847-5121
(802) 847-3987
Mailing address
111 COLCHESTER AVE, FAHC PATHOLOGY ACC-EP1, BURLINGTON, VT 05401-1473
(802) 847-5121
Taxonomy
Speciality
Code
Description
License number
State
207SC0300X
Clinical Cytogenetics Physician
Primary
042.0008183
VT
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
042-0008183
VT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
042-0008183
VT
207ZP0104X
Chemical Pathology Physician
042-0008183
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01413969
—
NY
05
—
0VN0654
—
VT
Enumeration date
07/18/2006
Last updated
09/30/2013
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