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1508949934
JOHNNY TAM
NEW YORK, NY
NPI
1508949934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 009081)
Enumeration Date
2006-10-21
Last Update Date
2021-04-09
Business Address
Mr. JOHNNY TAM RPA-C
535 E 70TH ST.
NEW YORK, NY 10021-4823
Phone number: 646-797-8743
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Mailing Address
Mr. JOHNNY TAM RPA-C
535 E 70TH ST.
NEW YORK, NY 10021-4823
Phone number: 212-606-1000
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