Individual
DR. MARC DARYL TAN ESTIOKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
610 W GERMANTOWN PIKE STE 150, PLYMOUTH MEETING, PA 19462-1062
(215) 481-2000
Mailing address
91 N YORK RD APT 400-50, WILLOW GROVE, PA 19090-2156
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD473373
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD473373
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT210453
PA
Other
Enumeration date
06/07/2016
Last updated
10/19/2023
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