Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD423711 | PA |
NPI | 1336115955 |
---|---|
Provider Name | Dr. Peter Tang |
First Address | Pittsburgh, PA 15212-4769 |
Second Address | Pittsburgh, PA 15212-4769 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/02/2006 |
Last Update Date | 06/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G29250 | (02) | PA |