Individual
BARON TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10650 W STATE ROAD 84 STE 111, DAVIE, FL 33324-4235
(954) 370-6601
(954) 344-3708
Mailing address
711 TROY SCHENECTADY RD, SUITE 209, LATHAM, NY 12110-2442
(518) 786-1667
(518) 786-1954
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
028169
FL
225100000X
Physical Therapist
034341-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01061962
RR MEDICARE
NY
Enumeration date
09/27/2011
Last updated
04/16/2013
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