Shu-Ling C Tan is a Pediatrics in Philadelphia, Pennsylvania. Shu-Ling C Tan practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Shu-Ling C Tan is 1336264449. The last update date is 2007-07-08.
Shu-Ling C Tan's current location address is 4641 Roosevelt Blvd, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157427820 and fax number 2158312929. The mailing address for Shu-Ling C Tan is 4641 Roosevelt Blvd, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shu-Ling C Tan |
|---|---|
| Address | 4641 Roosevelt Blvd, Philadelphia, Pennsylvania |
| Phone Number | 2157427820 |
| Fax Number | 2158312929 |
| Sole Proprietor | Y |
| Credentials | PHYSICAL T |
NPI Number Detail
| NPI Number | 1336264449 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4641 Roosevelt Blvd |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191242343 |
| Phone Number | 2157427820 |
| Fax Number | 2158312929 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | PT008683E |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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What is the unique identifier code issued to Shu-Ling C Tan by the Centers for Medicare & Medicaid Services?
The Shu-Ling C Tan has been assigned the NPI (National Provider Identifier) 1336264449. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Shu-Ling C Tan is physically located?
The Shu-Ling C Tan is physically situated at the following address: 4641 Roosevelt Blvd, Philadelphia, PA, 191242343.
What is Shu-Ling C Tan's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Shu-Ling C Tan is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 2251P0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1336264449 to Shu-Ling C Tan?
The Centers for Medicare & Medicaid Services assigned the 1336264449 to Shu-Ling C Tan on 2007-03-20.
As of what date were the details related to Shu-Ling C Tan most recently updated or revised?
The information pertaining to Shu-Ling C Tan, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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