Yan Tan M.D.

NPI 1275819179 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1275819179
Gender Female
Enumeration Date 10/24/2011
Last Updated 07/23/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
275 HANCOCK ST
QUINCY MA, 02171-2249, US
Phone (617) 481-8178
Fax
Business Location
275 HANCOCK ST
QUINCY MA, 02171-2249, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State Massachusetts
License Number 252539
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According to our database, Yan Tan M.D. NPI is 1275819179, taxonomy code is 390200000X and license number is 252539, license state is located at Massachusetts. Yan Tan M.D. physically located at 275 Hancock St, Quincy MA, 02171-2249. NPI Number Yan Tan M.D. has the Individual type.

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1275819179 NPI number is provided on an as is basis without warranty of any kind. 1275819179 is maintained by the National Plan & Provider Enumeration System. The contents of Yan Tan M.D. are for informational purposes only.