Alfonso Tan, M.D.

NPI #1588689566 in Sayville, New York

Provider Information

NPI Number
1588689566
Entity Type
Individual
Name
Alfonso Tan, M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Internal Medicine
Credential
M.D.
Enumeration Date
Jul 12, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
297 W MAIN ST
ZIP Code
11782-2523
Phone
(631) 589-2323

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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