Individual
TONY TANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
199 REEDSDALE RD, MILTON, MA 02186-3926
(617) 696-4600
Mailing address
76 CANTON ST, RANDOLPH, MA 02368-2449
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
129954
PR
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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