Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 57294 | CT |
N | 111NI0900X | Internist | 57294 | CT |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 57294 | CT |
NPI | 1013263870 |
---|---|
Provider Name | Dr. Chi Tang |
First Address | Derby, CT 06418-1328 |
Second Address | Ansonia, CT 06401-2135 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2012 |
Last Update Date | 05/11/2018 |