Organization
PETER TAH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER TAH MD (OWNER)
(973) 405-6333
Entity
Organization
Contact information
Practice address
930 CLIFTON AVE, SUITE 104, CLIFTON, NJ 07013-2723
(973) 405-6333
Mailing address
PO BOX 406, PATERSON, NJ 07510
(201) 512-9494
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MA058769
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6591701
—
NJ
Enumeration date
01/24/2007
Last updated
08/22/2020
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