Individual
ALICE TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2300 OPITZ BLVD, WOODBRIDGE, VA 22191
(703) 523-1000
Mailing address
2300 OPITZ BLVD, WOODBRIDGE, VA 22191-3311
(703) 523-1000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
0102204715
VA
207P00000X
Emergency Medicine Physician
H0062862
MD
207P00000X
Emergency Medicine Physician
P0880
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
408144700
—
MD
Enumeration date
06/19/2006
Last updated
06/28/2018
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