Individual
DR. TERESA X TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
860 OMNI BLVD, SUITE 101, NEWPORT NEWS, VA 23606
(757) 223-9794
(757) 223-9168
Mailing address
860 OMNI BLVD, STE 101, NEWPORT NEWS, VA 23606-4430
(757) 232-8777
(757) 232-8866
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
0116017793
VA
Other
Enumeration date
06/03/2007
Last updated
12/02/2019
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