Provider Demographics
NPI:1306604822
Name:TANG, ZHENGDONG
Entity type:Individual
Prefix:
First Name:ZHENGDONG
Middle Name:
Last Name:TANG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2201 CANDUN DR STE 104
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27523-6413
Mailing Address - Country:US
Mailing Address - Phone:919-725-1778
Mailing Address - Fax:919-516-9725
Practice Address - Street 1:2201 CANDUN DR STE 104
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27523-6413
Practice Address - Country:US
Practice Address - Phone:919-725-1778
Practice Address - Fax:919-516-9725
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist