Individual
DR. PUAY ENG TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., FRCPATH (UK)
Contact information
Practice address
1 HOSPITAL DR, LOWELL, MA 01852-1311
(978) 458-1411
(978) 934-8401
Mailing address
9 BROWNING RD, NEWTON CENTRE, MA 02459-2401
(617) 332-1346
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
82006
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220029311
RAILROAD MEDICARE
—
05
—
3166066
—
MA
01
—
34828
HARVARD PILGRIM
MA
01
—
61963
FALLON
MA
01
—
767645
TUFTS
MA
01
—
J17778
BLUE CROSS
MA
Enumeration date
05/01/2006
Last updated
06/14/2022
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