O.t. Tan, M.d., P.c.

NPI #1114198306 in Boston, Massachusetts

Provider Information

NPI Number: 1114198306
Entity Type: Organization
Organization Name: O.t. Tan, M.d., P.c.
Primary Specialty: Specialist
Enumeration Date: Mar 17, 2008
Last Updated: Mar 17, 2008

Practice Location

Address: 29 COMMONWEALTH AVE
Address 2: SUITE #101
City: Boston
State: Massachusetts
ZIP Code: 02116-2349
Phone: (617) 424-8335

Authorized Official

Name: DR. OON TIAN TAN, M.D., PH.D.
Title: OWNER
Phone: (617) 424-8335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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