Individual
DR. VICENTE GARCIA TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3342 J.F.KENNEDY BLVD., JERSEY, NJ 07307-4233
(201) 653-8999
(201) 653-4477
Mailing address
120 JOCKEY HOLLOW WAY, UNION, NJ 07083-4157
(908) 687-3725
(908) 686-5258
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
25MA03737400
NJ
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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