# LEONG HEAN TAN MD PA

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

## Provider details

- **NPI number:** 1184970113
- **Authorized official:** DR. LEONG HEAN TAN MD (PHYSICIAN)
- **Authorized official phone:** (908) 852-0901

## Contact information

- **Practice address:** 121 SHELLEY DR STE 1D, HACKETTSTOWN, NJ 07840-2530
- **Practice address phone:** (908) 852-0901
- **Practice address fax:** (908) 850-8730
- **Mailing address:** PO BOX 7205, HACKETTSTOWN, NJ 07840-7205
- **Mailing address phone:** (908) 852-0901
- **Mailing address fax:** (908) 850-8730

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/27/2012
- **Last updated:** 07/27/2012