Individual
DR. DENGDA TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 NE 87TH AVE STE 301, VANCOUVER, WA 98664-1965
(360) 514-7060
(360) 514-7068
Mailing address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-2529
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA07723200
NJ
207RG0100X
Gastroenterology Physician
Primary
MD00049193
WA
208D00000X
General Practice Physician
25MA07723200
NJ
208M00000X
Hospitalist Physician
25MA07723200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051276
—
NJ
Enumeration date
09/13/2005
Last updated
04/11/2024
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