Individual provider · Type 1 NPI
Ke Yan Tang, PA-C
Medical Physician Assistant · Clifton, NJ
NPI number
1194069112
Active
Practice location
1355 Broad Street
Clifton, NJ 07013
Fax (973) 778-4044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 015045 (NY) |
Medical Physician Assistant: Definition to come...
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About NPI 1194069112
Ke Yan Tang, PA-C's National Provider Identifier is 1194069112, issued on Nov 15, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Clifton, NJ. The record was last updated on Nov 4, 2020.