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Organization
INTEL PT LLC
Active
Organization
INTEL PT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY TAN DPT (PRESIDENT)
(510) 456-8747
Entity
Organization
Contact information
Practice address
185 COOMBS DR, PARAMUS, NJ 07652-4434
(510) 456-8747
Mailing address
185 COOMBS DR, PARAMUS, NJ 07652-4434
(510) 456-8747
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/21/2026
Last updated
08/21/2026
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