Individual
JEVON TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2557 MOWRY AVE STE 12, FREMONT, CA 94538-1614
(510) 248-1550
Mailing address
2557 MOWRY AVE. SUITE 12, FREMONT, CA 94538
(510) 248-1550
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A107806
CA
207RI0200X
Infectious Disease Physician
Primary
A107806
CA
Other
Enumeration date
06/03/2007
Last updated
05/05/2016
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