SUPERIO TAN JAO

SMITHTOWN, NY
NPI1407969819
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  173312)
Enumeration Date2006-08-17
Last Update Date2007-07-08
Business Address
-- SUPERIO TAN JAO MD
278A EAST MAIN ST
SMITHTOWN, NY 11787
Phone number: 631-366-4550
Mailing Address
-- SUPERIO TAN JAO MD
278A EAST MAIN ST
SMITHTOWN, NY 11787
Phone number: 631-366-4550
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