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Individual
DR. MARC DARYL TAN ESTIOKO
Active
Individual
DR. MARC DARYL TAN ESTIOKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD473373
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD473373
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT210453
PA
Other
Enumeration date
06/07/2016
Last updated
10/19/2023
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