Individual
THEODORE CONRAD ANG TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
810 NEW BURTON RD, SUITE 3, DOVER, DE 19904-5488
(302) 730-0554
(302) 730-1175
Mailing address
810 NEW BURTON RD, SUITE 3, DOVER, DE 19904-5488
(302) 730-0554
(302) 730-1175
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C10010131
DE
Other
Enumeration date
07/16/2009
Last updated
12/28/2015
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