CONNIE GWENDOLYN TANG (NPI# 1396131868) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396131868 |
| Entity Type | Individual |
| Full Name | CONNIE GWENDOLYN TANG |
| Practice Address |
725 Albany Street Shapiro 7, Suite B Boston MA 02118 |
| Mailing Address |
801 Albany Street Fl Ground Boston MA 02119 |
| Practice Telephone | 6176388456 |
| Mailing Telephone | 6174145405 |
| Mailing Fax Number | 6174146031 |
| Enumeration Date | 2015-04-12 |
| Last Update Date | 2020-06-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
282544 | MA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | PA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 833 Chestnut St Ste 220, Philadelphia, PA 191074405 | 2159558465 | 2159552516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700154960 | Connie Tang | Pharmacist | 5680 Balboa Ave, San Diego, CA 92111-2706 | 2011-12-02 |
| Street Address |
725 ALBANY STREET SHAPIRO 7, SUITE B |
| City | BOSTON |
| State | MA |
| Zip Code | 02118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699772715 | Theresa Clare Weir | Nurse Practitioner | 725 Albany Street, Shapiro 5 and 6, Boston, MA 02118-2526 | 2005-07-05 |
| 1588292114 | Alexander Lee Yeo | Student in an Organized Health Care Education/Training Program | 725 Albany Street, Precepting Room, Boston, MA 02128 | 2020-03-30 |
| 1851928840 | Juan Vicente Rodriguez | Student in an Organized Health Care Education/Training Program | 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-27 |
| 1518594928 | Tyler Newshaw Lescure | Student in an Organized Health Care Education/Training Program | 725 Albany Street, Precepting Room, Boston, MA 02128 | 2020-03-25 |
| 1548897929 | Luke Chmielecki | Student in an Organized Health Care Education/Training Program | 725 Albany Street, Shapiro Primary Care, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1982231379 | Tina Zhang | Student in an Organized Health Care Education/Training Program | 725 Albany Street, Precepting Room, Boston, MA 02128 | 2020-03-25 |
| 1619511482 | Amelia Hansen | Nurse Practitioner | 725 Albany Street, Shapiro 7, Suite B, Boston, MA 02118 | 2019-11-04 |
| 1821649153 | Mariah Barrows | Nurse Practitioner | 725 Albany Street, Shapiro 7, Suite C, Boston, MA 02118 | 2019-09-27 |
| 1750939112 | Arielle Davidson | Nurse Practitioner | 725 Albany Street, Shapiro 7, Suite B, Boston, MA 02118 | 2019-08-29 |
| 1619532272 | Opal Mahalia Mitchell | Nurse Practitioner | 725 Albany Street, Shapiro 7, Suite B, Boston, MA 02118 | 2019-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336626324 | Mary Jane Lim Fat | Psychiatry & Neurology | 450 Brookline Ave Dept Dana2, Boston, MA 02215-5418 | 2018-07-23 |
| 1801256094 | Lincoln S Darla X | Psychiatry & Neurology | 260 Tremont Street 2nd Floor, Tufts Medical Center, Biewend Building, Boston, MA 02111 | 2016-03-01 |
| 1407261605 | Lee Sullivan | Psychiatry & Neurology | 15 Parkman St # 720, Boston, MA 02114 | 2014-06-25 |
| 1093135048 | Pria Anand | Psychiatry & Neurology | 55 Fruit St Ste 835, Boston, MA 02114-2696 | 2014-04-17 |
| 1770925976 | Ammar Kheder | Psychiatry & Neurology | 55 Fruit Street, Epilepsy Service, Wang Acc 7, Massachusetts General Hospital, Boston, MA 02114 | 2013-07-29 |
| 1225477953 | Christopher T Doughty | Psychiatry & Neurology | 60 Fenwood Rd Dept Of, Boston, MA 02115 | 2013-06-16 |
| 1669815486 | Paloma Gonzalez Perez | Psychiatry & Neurology | 165 Cambridge St Fl 8, Boston, MA 02114-2747 | 2013-04-10 |
| 1417235557 | Reza Seyedsadjadi | Psychiatry & Neurology | 165 Cambridge St Ste 820, Boston, MA 02114 | 2011-07-22 |
| 1912216938 | Haythum Osama Tayeb | Psychiatry & Neurology | 55 Fruit Street (mailcode Wacc 8-835), Mass. General Hospital Dept. Neurology, Boston, MA 02114 | 2010-09-26 |
| 1508093675 | Sana Syed | Psychiatry & Neurology | 725 Shapiro, 716, Boston, MA 02118-2307 | 2009-06-16 |
| Find all providers in BOSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.