John J K Tan MD PA

NPI #1306077144 in Montclair, New Jersey

Provider Information

NPI Number: 1306077144
Entity Type: Organization
Organization Name: John J K Tan MD PA
Primary Specialty: Otolaryngology
Enumeration Date: Jul 28, 2009
Last Updated: Mar 23, 2011

Practice Location

Address: 77 PARK ST
City: Montclair
State: New Jersey
ZIP Code: 07042-2962
Phone: (973) 746-4855

Authorized Official

Name: DR. JOHN J K TAN, M.D.
Title: PRESIDENT
Phone: (973) 746-4855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Medical Specialty — Medical Specialty	261QM2500X
Otolaryngology	207Y00000X	Primary

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