Individual
DR. ROMEO BIHAG TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 3RD ST, MOUNDSVILLE, WV 26041-1716
(304) 845-2330
(304) 845-2397
Mailing address
1601 3RD ST, MOUNDSVILLE, WV 26041-1716
(304) 845-2330
(304) 845-2397
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10494
WV
208600000X
Surgery Physician
Primary
10494
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0128037000
—
WV
01
—
10494
HMO
WA
Enumeration date
09/21/2005
Last updated
12/17/2009
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