Dr. Mary Aldrene Tan, MD
Pathology, Dermatopathology in Needham, Massachusetts
1255510194- Practice location
- 15 Crawford St Ste 100, Needham, MA 02494-2618
- Phone
- 617-969-4100
- Fax
- 617-969-3393
- Last updated
- March 21, 2018
Mary Aldrene Tan is a Pathology, Dermatopathology based in Needham, MA. Mary Aldrene Tan practices in Needham, MA and has the professional credentials of MD. The NPI Number for Mary Aldrene Tan is 1255510194 and holds a License No. 238301-1 (NY). The current practice location address for Mary Aldrene Tan is 15 Crawford St Ste 100, Needham, MA 02494-2618 and can be reached out via phone at 617-969-4100 and via fax at 617-969-3393.
Provider Profile Details
- NPI Number
- 1255510194
- Provider Name
- Mary Aldrene Tan
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 15 Crawford St Ste 100, Needham, MA 02494-2618
- Phone Number
- 617-969-4100
- Fax Number
- 617-969-3393
- Primary Taxonomy
- Pathology, Dermatopathology · 207ZD0900X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 29, 2007
- Last Update Date
- March 21, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Crawford St Ste 100
Needham, MA 02494-2618 - City
- Needham
- State
- Massachusetts
- Zip
- 02494-2618
- Phone Number
- 617-969-4100
- Fax Number
- 617-969-3393
Provider Business Mailing Address Details
- Address
- Po Box 840294
Dallas, TX 75284-0294 - City
- Dallas
- State
- TX
- Zip
- 75284-0294
- Phone Number
- 888-344-1160
- Fax Number
- 972-331-3148
License Information
- License Number (1)
- 238301-1
- License State (1)
- NY
- Taxonomy (1)
- Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X
- License Number (2)
- 238301-1
- License State (2)
- NY
- Taxonomy (2)
- Pathology, Dermatopathology · 207ZD0900X · 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 Dr. Mary Aldrene Tan, MD?
The NPI number of Dr. Mary Aldrene Tan, MD is 1255510194. It was assigned on October 29, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Mary Aldrene Tan, MD?
Dr. Mary Aldrene Tan, MD is registered under the primary taxonomy Pathology, Dermatopathology (code 207ZD0900X), licensed in NY under license number 238301-1.
Where does Dr. Mary Aldrene Tan, MD practice?
The practice location is 15 Crawford St Ste 100, Needham, MA 02494-2618. The office can be reached at 617-969-4100 (phone) or 617-969-3393 (fax).
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 1255510194 directly on the NPPES registry website.