Douglas Tan, MD
Student in an Organized Health Care Education/Training Program in Verona, New Jersey
1073365235- Practice location
- 799 Bloomfield Ave Ste 201, Verona, NJ 07044-1374
- Phone
- 973-746-7050
- Fax
- —
- Last updated
- April 2, 2024
Douglas Tan is a Student in an Organized Health Care Education/Training Program based in Verona, NJ. Douglas Tan practices in Verona, NJ and has the professional credentials of MD. The NPI Number for Douglas Tan is 1073365235. The current practice location address for Douglas Tan is 799 Bloomfield Ave Ste 201, Verona, NJ 07044-1374 and can be reached out via phone at 973-746-7050.
Provider Profile Details
- NPI Number
- 1073365235
- Provider Name
- Douglas Tan
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 799 Bloomfield Ave Ste 201, Verona, NJ 07044-1374
- Phone Number
- 973-746-7050
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 2, 2024
- Last Update Date
- April 2, 2024
- Certification Date
- March 26, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 799 Bloomfield Ave Ste 201
Verona, NJ 07044-1374 - City
- Verona
- State
- New Jersey
- Zip
- 07044-1374
- Phone Number
- 973-746-7050
Provider Business Mailing Address Details
- Address
- 799 Bloomfield Ave Ste 201
Verona, NJ 07044-1374 - City
- Verona
- State
- NJ
- Zip
- 07044-1374
- Phone Number
- 973-746-7050
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Douglas Tan, MD?
The NPI number of Douglas Tan, MD is 1073365235. It was assigned on April 2, 2024 and is currently active in the NPPES registry.
What is the specialty of Douglas Tan, MD?
Douglas Tan, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Douglas Tan, MD practice?
The practice location is 799 Bloomfield Ave Ste 201, Verona, NJ 07044-1374. The office can be reached at 973-746-7050 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073365235 directly on the NPPES registry website.