Individual
MR. BARTOLOME AMOS TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
62 GRIECO DR, JERSEY CITY, NJ 07305-4898
(201) 451-3733
(201) 451-3733
Mailing address
62 GRIECO DR, JERSEY CITY, NJ 07305-4898
(201) 451-3733
(201) 451-3733
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00729300
NJ
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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