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Individual

NEJI TANGBAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
40 WRIGHT ST, PALMER, MA 01069-1138
(413) 284-5400
(413) 284-5559
Mailing address
280 CHESTNUT ST, 2ND FLOOR, SPRINGFIELD, MA 01199-1001
(413) 794-5700

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
238780
MA
207Q00000X
Family Medicine Physician
37400
IA
208M00000X
Hospitalist Physician
238780
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9771476
MA
Enumeration date
08/06/2007
Last updated
04/27/2020
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