Active NPIOrganization

O.t. Tan, M.d., P.c.

Specialist in Boston, Massachusetts

NPI Number1114198306
Practice location
29 Commonwealth Ave, Suite #101, Boston, MA 02116-2349
Fax
—
Last updated
March 17, 2008

O.t. Tan, M.d., P.c. is a healthcare organization based in Boston, MA. O.t. Tan, M.d., P.c. practices in Boston, MA. The NPI Number for O.t. Tan, M.d., P.c. is 1114198306 and holds a License No. 51655 (MA). The current practice location address for O.t. Tan, M.d., P.c. is 29 Commonwealth Ave, Suite #101, Boston, MA 02116-2349 and can be reached out via phone at 617-424-8335.

Provider Profile Details

NPI Number
1114198306
Provider Name
O.t. Tan, M.d., P.c.
Provider Entity Type
Organization
Address
29 Commonwealth Ave, Suite #101, Boston, MA 02116-2349
Phone Number
617-424-8335
Primary Taxonomy
Specialist · 174400000X
Organization Subpart
No
Authorized Official
Dr. Oon Tian Tan, MD, PHD · Owner · 617-424-8335
Provider Enumeration Date
March 17, 2008
Last Update Date
March 17, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
29 Commonwealth Ave
Suite #101
Boston, MA 02116-2349
City
Boston
Zip
02116-2349
Phone Number
617-424-8335
Boston, MA 02116Get directions →

Provider Business Mailing Address Details

Address
29 Commonwealth Ave
Suite #101
Boston, MA 02116-2349
City
Boston
State
MA
Zip
02116-2349

License Information

License Number
51655
License State
MA
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 O.t. Tan, M.d., P.c.?

The NPI number of O.t. Tan, M.d., P.c. is 1114198306. It was assigned on March 17, 2008 and is currently active in the NPPES registry.

What is the specialty of O.t. Tan, M.d., P.c.?

O.t. Tan, M.d., P.c. is registered under the primary taxonomy Specialist (code 174400000X), licensed in MA under license number 51655.

Where does O.t. Tan, M.d., P.c. practice?

The practice location is 29 Commonwealth Ave, Suite #101, Boston, MA 02116-2349. The office can be reached at 617-424-8335 (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 1114198306 directly on the NPPES registry website.

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