Provider Demographics
NPI:1851805139
Name:TANG, VAN NGUYEN (LAC, MSAC)
Entity type:Individual
Prefix:
First Name:VAN
Middle Name:NGUYEN
Last Name:TANG
Suffix:
Gender:F
Credentials:LAC, MSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 US HIGHWAY 22 W
Mailing Address - Street 2:BUILDING 3, SUITE 309
Mailing Address - City:WHITEHOUSE STATION
Mailing Address - State:NJ
Mailing Address - Zip Code:08889-3442
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:460 US HIGHWAY 22 W
Practice Address - Street 2:BDG 3, SUITE 309
Practice Address - City:WHITEHOUSE STATION
Practice Address - State:NJ
Practice Address - Zip Code:08889
Practice Address - Country:US
Practice Address - Phone:908-547-0897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-26
Last Update Date:2018-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty