Individual
EDWARD TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
133 BROOKLINE AVE, BOSTON, MA 02215-3904
(617) 421-1000
Mailing address
32 ROBERTSON ST, QUINCY, MA 02169-1215
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25505
MA
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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