Crystal Tank, M.D.

NPI #1043639453 in Glen Ridge, New Jersey

Provider Information

NPI Number: 1043639453
Entity Type: Individual
Name: Crystal Tank, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Apr 14, 2014
Last Updated: Feb 17, 2020

Practice Location

Address: 311 BAY AVE
Address 2: MMG INTERNAL MED
City: Glen Ridge
State: New Jersey
ZIP Code: 07028
Phone: (973) 748-9246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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