Individual
ERWIN TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0925
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
D62420
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
406782700
—
MD
Enumeration date
07/11/2006
Last updated
01/27/2010
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