Individual
SHIMENG TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3380 MEMPHIS ST, PHILADELPHIA, PA 19134-4510
(215) 426-5566
Mailing address
929 NEWTOWN RD, DEVON, PA 19333-1836
(407) 459-0209
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN631396
PA
364SF0001X
Family Health Clinical Nurse Specialist
Primary
SP012793
PA
Other
Enumeration date
02/11/2013
Last updated
11/26/2014
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