Individual
DR. RAYMOND TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 454-8500
Mailing address
1351 ROUTE 55, SUITE 200, LAGRANGEVILLE, NY 12540-5108
(845) 475-9660
(845) 475-9938
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
235050
NY
207RN0300X
Nephrology Physician
235050
NY
208M00000X
Hospitalist Physician
Primary
235050
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002036400
—
FL
05
—
04080159
—
NY
Enumeration date
03/25/2008
Last updated
02/15/2017
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