Individual
ERIC TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
35 BEAVERSON BLVD STE 6B, BRICK, NJ 08723-7859
(732) 262-0622
Mailing address
103 GOLF VIEW BLVD, TOMS RIVER, NJ 08753-7302
(848) 992-4255
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ01177300
NJ
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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