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Individual

VICTORIA JAYNE TAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
291 E CENTER ST, WEST BRIDGEWATER, WEST BRIDGEWATER, MA 02379-1813
(508) 584-1234
(508) 584-0230
Mailing address
291 E CENTER ST, WEST BRIDGEWATER, WEST BRIDGEWATER, MA 02379-1813
(508) 584-1234
(508) 584-0230

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
258583
MA

Other

Enumeration date
05/26/2011
Last updated
05/26/2011
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