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1356402952
EDGARDO TAN
ELIZABETH, NJ
NPI
1356402952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2080A0000X Pediatrics, Adolescent Medicine
(Licence: NJ 25MA 042112)
Enumeration Date
2006-12-13
Last Update Date
2007-07-09
Business Address
Dr. EDGARDO TAN M.D.
314 1ST AVE
ELIZABETH, NJ 07206-1659
Phone number: 908-353-5280
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Mailing Address
Dr. EDGARDO TAN M.D.
314 1ST AVE
ELIZABETH, NJ 07206-1659
Phone number: 908-353-5280
Copy
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