DEREK TANG

PROVIDENCE, RI
NPI1497370282
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: RI  LP05270)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA  MT220030)
Enumeration Date2020-06-08
Last Update Date2021-06-25
Business Address
Dr. DEREK TANG MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-8809
Mailing Address
Dr. DEREK TANG MD
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-8809