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1831877976
JIA YI TAN
NEWARK, NJ
NPI
1831877976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-07-10
Last Update Date
2023-07-10
Business Address
JIA YI TAN MD
111 CENTRAL AVE
NEWARK, NJ 07102-1909
Phone number: 973-877-5000
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Mailing Address
JIA YI TAN MD
9 S 3RD ST APT 2
HARRISON, NJ 07029-2081
Phone number: 862-373-7618
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