# PETER TAH MD PA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Peter Tah MD PA LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396577417
- **Authorized official:** PETER TAH (OWNED)
- **Authorized official phone:** (888) 811-5391

## Contact information

- **Practice address:** 424 CLIFTON AVE, CLIFTON, NJ 07011-2645
- **Practice address phone:** (888) 811-5391
- **Mailing address:** PO BOX 406, PATERSON, NJ 07543-0406
- **Mailing address phone:** (973) 405-6333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/16/2024
- **Last updated:** 08/16/2024