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1194830877
SUALP TANSAN
PLYMOUTH, MA
NPI
1194830877
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RX0202X Internal Medicine, Medical Oncology
(Licence: MA 60328)
Enumeration Date
2006-08-20
Last Update Date
2007-07-08
Business Address
SUALP TANSAN M.D.
12 LUKES WAY
PLYMOUTH, MA 02360-4770
Phone number: 508-746-4961
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Mailing Address
SUALP TANSAN M.D.
12 LUKES WAY
PLYMOUTH, MA 02360-4770
Phone number: 508-746-4961
Copy
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