Dr. Elizabeth L Tan, MD
Radiology, Diagnostic Radiology in Mount Laurel, New Jersey
1346210077- Practice location
- 204 Ark RD, Mount Laurel, NJ 08054-3100
- Phone
- 856-866-8102
- Fax
- —
- Last updated
- March 19, 2013
Elizabeth Listiani Tan is a Radiology, Diagnostic Radiology based in Mount Laurel, NJ. Elizabeth Listiani Tan practices in Mount Laurel, NJ and has the professional credentials of MD. The NPI Number for Elizabeth Listiani Tan is 1346210077 and holds a License No. 25MA08161200 (NJ). The current practice location address for Elizabeth Listiani Tan is 204 Ark RD, Mount Laurel, NJ 08054-3100 and can be reached out via phone at 856-866-8102.
Provider Profile Details
- NPI Number
- 1346210077
- Provider Name
- Elizabeth Listiani Tan
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 204 Ark RD, Mount Laurel, NJ 08054-3100
- Phone Number
- 856-866-8102
- Primary Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 25, 2006
- Last Update Date
- March 19, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 204 Ark RD
Mount Laurel, NJ 08054-3100 - City
- Mount Laurel
- State
- New Jersey
- Zip
- 08054-3100
- Phone Number
- 856-866-8102
Provider Business Mailing Address Details
- Address
- 1295 Route 38
Po Box 479
Hainesport, NJ 08036-2702 - City
- Hainesport
- State
- NJ
- Zip
- 08036-2702
- Phone Number
- 609-914-7017
License Information
- License Number
- 25MA08161200
- License State
- NJ
- Taxonomy
- Radiology, Diagnostic Radiology · 2085R0202X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Radiology, Diagnostic Radiology providers near Mount Laurel, NJ
View all Radiology, Diagnostic Radiology providers in Mount Laurel →- Dr. Alfred D Meltzer, MDRadiology, Diagnostic Radiology · NPI 1992707392
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- Dr. Andrew S Zeiberg, MDRadiology, Diagnostic Radiology · NPI 1447252838
- Dr. Azam H Rizvi, MDRadiology, Diagnostic Radiology · NPI 1275535668
- Dr. Barry J Livstone, MDRadiology, Diagnostic Radiology · NPI 1295737682
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Frequently Asked Questions
What is the NPI number of Dr. Elizabeth L Tan, MD?
The NPI number of Dr. Elizabeth L Tan, MD is 1346210077. It was assigned on January 25, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Elizabeth L Tan, MD?
Dr. Elizabeth L Tan, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in NJ under license number 25MA08161200.
Where does Dr. Elizabeth L Tan, MD practice?
The practice location is 204 Ark RD, Mount Laurel, NJ 08054-3100. The office can be reached at 856-866-8102 (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 1346210077 directly on the NPPES registry website.