Individual
DR. ANTHONY TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
139 CENTRE ST STE 709, NEW YORK, NY 10013-4557
(212) 965-0496
(212) 965-0425
Mailing address
139 CENTRE ST STE 709, NEW YORK, NY 10013-4557
(212) 965-0496
(212) 965-0425
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
280463
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04281169
—
NY
Enumeration date
03/29/2012
Last updated
02/28/2019
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