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Miss Jia Wei Tan, MD
Student in an Organized Health Care Education/Training Program in Bridgeport, Connecticut
NPI 1023647922

Jia Wei Tan is a Student in an Organized Health Care Education/Training Program based in Bridgeport, CT. Jia Wei Tan practices in Bridgeport, CT and has the professional credentials of MD. The NPI Number for Jia Wei Tan is 1023647922 and holds a License No. (Connecticut).

The current practice location address for Jia Wei Tan is 267 Grant St, Bridgeport, CT and can be reached out via phone at 203-384-3792.

Location: 267 Grant St, Bridgeport, CT, 06610-2805
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023647922
Provider Name
Jia Wei Tan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
267 Grant St, Bridgeport, CT, 06610-2805
Phone Number
203-384-3792
Fax Number
Provider Enumeration Date
04/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
267 Grant St
City
Bridgeport
State
Connecticut
Zip
06610-2805
Phone Number
203-384-3792
Fax Number
person
Provider Business Mailing Address Details
Address
267 Grant St
City
Bridgeport
State
Connecticut
Zip
06610-2805
Phone Number
203-384-3792
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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