Individual
MR. KWEI HAM DANIEL TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
415 E MAIN ST, ENDICOTT, NY 13760-4925
(607) 785-2584
Mailing address
3600 FORBES AVENUE, FORBES TOWER - PLAZA LEVEL SUITE 140, PITTSBURG, PA 15213
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
313583
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2018
Last updated
01/17/2023
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