Individual provider · Type 1 NPI

Jimmy Tang, DMD

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1073093738 Active

Practice location

1575 Blondell Ave Ste 150
Bronx, NY 10461-2661

Call (888) 700-6623 Map

Mailing address

111 E 210th St
Bronx, NY 10467-2401

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073093738

Jimmy Tang, DMD's National Provider Identifier is 1073093738, issued on Aug 21, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on Aug 21, 2018.