Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 26NJ01141100 | NJ |
N | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | SP023446 | PA |
NPI | 1003433954 |
---|---|
Provider Name | Anthony N Tangi |
First Address | Williamstown, NJ 08094-3366 |
Second Address | Millville, NJ 08332-9754 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2020 |
Last Update Date | 13/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
26NJ01141100 | APN LICENSE (01) | NJ |