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Individual

STEPHEN V. TANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1250 HANCOCK ST, QUINCY, MA 02169-4339
(617) 774-0820
(617) 774-0832
Mailing address
1250 HANCOCK ST, QUINCY, MA 02169-4339
(617) 774-0820
(617) 774-0832

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
54884
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0014519
NEIGHBORHOOD HEALTH PLAN
MA
05
3202577
MA
01
703158
TUFTS HEALTH PLAN
MA
01
7521996-003
CIGNA
MA
01
J05985
BLUE CROSS
MA
01
PD145
HARVARD PILGRIM
MA
Enumeration date
08/30/2006
Last updated
02/26/2021
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