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Individual

YING HAO TAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1200 W GODFREY AVE, PHILADELPHIA, PA 19141-3323
(215) 276-6000
Mailing address
8407 PLEASANT PLAINS RD, TOWSON, MD 21286-8135
(443) 629-9309

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OET009157
PA

Other

Enumeration date
06/22/2021
Last updated
07/08/2021
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