Organization
LEONG HEAN TAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEONG HEAN TAN MD (PHYSICIAN)
(908) 852-0901
Entity
Organization
Contact information
Practice address
121 SHELLEY DR STE 1D, HACKETTSTOWN, NJ 07840-2530
(908) 852-0901
(908) 850-8730
Mailing address
PO BOX 7205, HACKETTSTOWN, NJ 07840-7205
(908) 852-0901
(908) 850-8730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2820307
—
NJ
01
—
TA104403
MEDICARE ID/PTAN
NJ
Enumeration date
07/27/2012
Last updated
07/27/2012
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