Individual
JUDY TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
280 N PROVIDENCE RD STE 103, MEDIA, PA 19063-3530
(610) 566-4563
Mailing address
2846 S 15TH ST, PHILADELPHIA, PA 19145-4915
(215) 554-4681
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC007427
PA
Other
Enumeration date
05/14/2021
Last updated
07/15/2024
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