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Individual

RODERICK JASON TAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
3708 5TH AVE STE 501, PITTSBURGH, PA 15213
(412) 692-4700
Mailing address
2 HOT METAL STREET, QUANTUM ONE, PITTSBURGH, PA 15203-2348
(412) 432-5866

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD440028
PA
207RN0300X
Nephrology Physician
Primary
MD440028
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102764680
PA
Enumeration date
09/26/2007
Last updated
08/20/2018
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