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1780631788
KENNETH I-CHIEN TAN
SAN JOSE, CA
NPI
1780631788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: CA G60594)
Enumeration Date
2006-05-27
Last Update Date
2007-07-08
Business Address
Dr. KENNETH I-CHIEN TAN M.D.
3880 S. BASCOM AVENUE #208
SAN JOSE, CA 95124-2675
Phone number: 408-377-8100
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Mailing Address
Dr. KENNETH I-CHIEN TAN M.D.
15680 SHANNON HTS
LOS GATOS, CA 95032-5723
Phone number:
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