# PETER TAH MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053466722
- **Authorized official:** DR. PETER TAH MD (OWNER)
- **Authorized official phone:** (973) 405-6333

## Contact information

- **Practice address:** 930 CLIFTON AVE, SUITE 104, CLIFTON, NJ 07013-2723
- **Practice address phone:** (973) 405-6333
- **Mailing address:** PO BOX 406, PATERSON, NJ 07510
- **Mailing address phone:** (201) 512-9494

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MA058769 | NJ | Yes |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 08/22/2020