Individual
DR. JIE TANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS, MPH
Contact information
Practice address
375 WAMPANOAG TRL, SUITE 302A, RIVERSIDE, RI 02915-2232
(401) 649-4060
(401) 649-4061
Mailing address
17 VIRGINIA AVE 107, PROVIDENCE, RI 02905-4406
(401) 443-4992
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
220678
MA
207RN0300X
Nephrology Physician
50140
CO
207RN0300X
Nephrology Physician
Primary
MD15121
RI
Other
Enumeration date
10/28/2005
Last updated
09/14/2016
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