Alfonso Tan MD PC

NPI #1548348758 in Sayville, New York

Provider Information

NPI Number: 1548348758
Entity Type: Organization
Organization Name: Alfonso Tan MD PC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 2, 2006
Last Updated: Nov 2, 2007

Practice Location

Address: 297 W MAIN ST
City: Sayville
State: New York
ZIP Code: 11782-2523
Phone: (631) 589-2323

Authorized Official

Name: ALFONSO TAN, M.D.
Title: PRESIDENT
Phone: (631) 589-2323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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