Juan Tan in Staten Island - Internal Medicine

Juan Tan - NPI 1457364895

Juan Tan is a Internal Medicine in Staten Island, New York. Juan Tan practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Juan Tan is 1457364895. The last update date is 2012-12-20.

Juan Tan's current location address is 52 Francis Pl, Staten Island, New York. You can contact this provider via phone number 7189799235. The mailing address for Juan Tan is 52 Francis Pl, Staten Island, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Juan Tan
Address 52 Francis Pl, Staten Island, New York
Phone Number 7189799235
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1457364895
Provider Enumeration Date 2006-08-15
Last Updated Date 2012-12-20

Provider Mailing Address Detail

Address 52 Francis Pl
City Staten Island
State New York (NY)
Post Code 103041432
Phone Number 7189799235
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 138361
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
399188 NY --

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FAQs about Juan Tan

What is the Juan Tan's unique identification number?

The Juan Tan has been assigned the NPI (National Provider Identifier) Number 1457364895 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Juan Tan is located?

The Juan Tan is situated at the following address: 52 Francis Pl, Staten Island, NY, 103041432.

What is Juan Tan's specialized field of practice, and what is the corresponding taxonomy classification code?

The Juan Tan's area of specialization is Internal Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207R00000X.

On what date did the Juan Tan receive its 1457364895 assignment from the Centers for Medicare & Medicaid Services?

The Juan Tan was assigned its 1457364895 by the Centers for Medicare & Medicaid Services on 2006-08-15.

As of what date was the information regarding Juan Tan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Juan Tan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-12-20.

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