Individual
DR. ROYLAND TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
268 MARTIN LUTHER KING JR BLVD, NEWARK, NJ 07102-2011
(973) 877-5034
(973) 877-5231
Mailing address
3998 FAIR RIDGE DRIVE, SUITE 300, FAIRFAX, VA 22033
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MA62167
NJ
207L00000X
Anesthesiology Physician
Primary
25MA06216700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6670407
—
NJ
Enumeration date
07/07/2005
Last updated
03/25/2015
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