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1518236181
WU TAN
FLUSHING, NY
NPI
1518236181
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 267436)
Enumeration Date
2011-12-27
Last Update Date
2017-09-25
Business Address
-- WU TAN MD
4235 MAIN ST STE 3M
FLUSHING, NY 11355-3969
Phone number: 347-341-0365
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Mailing Address
-- WU TAN MD
2520 146TH ST
FLUSHING, NY 11354-1329
Phone number: 347-341-0365
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