Edgardo Tan is a Adolescent Medicine in Elizabeth, New Jersey. Edgardo Tan practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Edgardo Tan is 1356402952. The last update date is 2007-07-09.
Edgardo Tan's current location address is 314 1st Ave, Elizabeth, New Jersey. You can contact this provider via phone number 9083535280. The mailing address for Edgardo Tan is 314 1st Ave, Elizabeth, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edgardo Tan |
|---|---|
| Address | 314 1st Ave, Elizabeth, New Jersey |
| Phone Number | 9083535280 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1356402952 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 314 1st Ave |
|---|---|
| City | Elizabeth |
| State | New Jersey (NJ) |
| Post Code | 72061659 |
| Phone Number | 9083535280 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | 25MA 042112 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1000060500 | NJ | AMERICHOICE | |
| 1398709 | NJ | -- | |
| 1027297 | NJ | HORIZON NJ HEALTH | |
| 12278 | NJ | AMERIGROUP |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Edgardo Tan by the Centers for Medicare & Medicaid Services?
The Edgardo Tan has been assigned the NPI (National Provider Identifier) 1356402952 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Edgardo Tan is physically located?
The Edgardo Tan is physically situated at the following address: 314 1St Ave, Elizabeth, NJ, 72061659.
What is Edgardo Tan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Edgardo Tan is Adolescent Medicine, and the taxonomy code that categorizes this field of expertise is 2080A0000X.
When did Edgardo Tan receive its 1356402952 assignment?
The Edgardo Tan was assigned its 1356402952 on 2006-12-13, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Edgardo Tan most recently updated or revised?
The details related to Edgardo Tan, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.
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