Ruby R Tan, M.D.

NPI #1124278833 in Colonial Heights, Virginia

Provider Information

NPI Number: 1124278833
Entity Type: Individual
Name: Ruby R Tan, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Sep 30, 2008
Last Updated: Sep 30, 2008

Practice Location

Address: 301 JENNICK DR # A
City: Colonial Heights
State: Virginia
ZIP Code: 23834-4904
Phone: (804) 524-0055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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