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1023647922
JIA WEI TAN
BRIDGEPORT, CT
NPI
1023647922
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-03
Last Update Date
2020-04-03
Business Address
Miss JIA WEI TAN MD
267 GRANT ST
BRIDGEPORT, CT 06610-2805
Phone number: 203-384-3792
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Mailing Address
Miss JIA WEI TAN MD
267 GRANT ST
BRIDGEPORT, CT 06610-2805
Phone number: 203-384-3792
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