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1083770580
MARK TAN
SMITHTOWN, NY
NPI
1083770580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RR0500X Internal Medicine, Rheumatology
(Licence: NY 165674)
Enumeration Date
2006-12-29
Last Update Date
2011-07-27
Business Address
Mr. MARK TAN M.D.
222 MIDDLE COUNTRY ROAD SUITE 312
SMITHTOWN, NY 11787
Phone number: 631-724-8900
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Mailing Address
Mr. MARK TAN M.D.
222 MIDDLE COUNTRY ROAD SUITE 312
SMITHTOWN, NY 11787
Phone number: 631-724-8900
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