Individual
DR. JUSTIN TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-4321
Mailing address
111 E 210TH ST, BRONX, NY 10467-2401
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
297914
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/01/2014
Last updated
02/25/2021
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