Individual
DR. IRENE J. TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9880 BUSTLETON AVE, PHILADELPHIA, PA 19115-2185
(215) 827-1500
(215) 827-1501
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-4600
(215) 707-4034
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD445427
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010037521CT01
BCBS PROVIDER ID
CT
01
—
1891982005
GROUP NPI
CT
01
—
2V7063
HEALTH NET PROVIDER ID
CT
01
—
C03453
MEDICARE GROUP PIN
CT
Enumeration date
01/26/2006
Last updated
11/06/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us