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1972645018
SUSAN TANG
BRONX, NY
NPI
1972645018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 115472)
Enumeration Date
2007-02-13
Last Update Date
2007-07-08
Business Address
Dr. SUSAN TANG M.D.
861 E TREMONT AVE
BRONX, NY 10460-4206
Phone number: 718-731-0704
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Mailing Address
Dr. SUSAN TANG M.D.
19010 RADNOR RD
HOLLIS, NY 11423-1023
Phone number: 718-740-0163
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