TEDMAN LUCERO TAN

VINELAND, NJ
NPI1568857365
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: NJ  25MD00343900)
Enumeration Date2015-03-30
Last Update Date2019-05-13
Business Address
TEDMAN LUCERO TAN
238 W CHESTNUT AVE
VINELAND, NJ 08360-5550
Phone number: 856-691-2152
Mailing Address
TEDMAN LUCERO TAN
37 DARBY LN
MAYS LANDING, NJ 08330-1459
Phone number: 609-513-9150