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1235147869
DOMINGO C TAN
CHESAPEAKE, VA
NPI
1235147869
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: VA 0101023086)
Enumeration Date
2006-08-03
Last Update Date
2018-03-23
Business Address
DOMINGO C TAN M.D.
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320-4941
Phone number: 757-312-6124
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Mailing Address
DOMINGO C TAN M.D.
PO BOX 844527
BOSTON, MA 02284-4527
Phone number: 757-867-6101
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