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1982071916
TOMMY TAN
JAMAICA, NY
NPI
1982071916
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 018913)
Enumeration Date
2015-08-25
Last Update Date
2015-08-25
Business Address
TOMMY TAN PA-C
8268 164TH ST
JAMAICA, NY 11432-1121
Phone number: 718-883-3000
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Mailing Address
TOMMY TAN PA-C
8268 164TH ST SUITE 1B-02
JAMAICA, NY 11432-1121
Phone number:
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