Individual
MARIA VICTORIA T TANTENGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
33 OAK AVE, WORCESTER, MA 01605-2752
(508) 757-7300
(800) 757-0803
Mailing address
33 OAK AVE, WORCESTER, MA 01605-2752
(508) 757-7300
(800) 757-0803
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
216076
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0182371
—
MA
Enumeration date
10/25/2005
Last updated
11/16/2020
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