Individual
MR. DIEN TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
159 TROUT AVENUE, GROTON, CT 06349
(978) 821-5791
Mailing address
159 TROUT AVENUE, GROTON, CT 06349
(978) 821-5791
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
1659715548
CT
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7715
SUBMARINE INDEPENDENT DUTY CORPSMEN
—
Enumeration date
04/22/2013
Last updated
02/17/2026
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