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Virak Tan, MD
Orthopedic Hand Surgery Physician in Newark, New Jersey
NPI 1841373438

Virak Tan is a Orthopedic Hand Surgery Physician based in Newark, NJ and is specialized in Hand Surgery. Virak Tan practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Virak Tan is 1841373438 and holds a License No. 25MA07231500 (New Jersey).

The current practice location address for Virak Tan is 90 Bergen St, Newark, NJ and can be reached out via phone at 973-972-2150 and via fax at 973-972-2155. You can also correspond with Virak Tan through the mailing address at 30 BERGEN ST, NEWARK, NJ - 07107-3000 (mailing address contact number: ).

Location: 90 Bergen St, Newark, NJ, 07107-3000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841373438
Provider Name
Virak Tan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
90 Bergen St, Newark, NJ, 07107-3000
Phone Number
973-972-2150
Fax Number
973-972-2155
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8555907 05 NJ
institution
Provider Business Practice Location Address Details
Address
90 Bergen St
City
Newark
State
New Jersey
Zip
07103-2425
Phone Number
973-972-2150
Fax Number
973-972-2155
person
Provider Business Mailing Address Details
Address
30 Bergen St
City
Newark
State
New Jersey
Zip
07107-3000
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Hand Surgery
Taxonomy
207XS0106X
License No.
25MA07231500 (New Jersey)
Definition
An orthopedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
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