Individual
DR. SUSAN LEI TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1319 PUNAHOU ST STE 1120, HONOLULU, HI 96826-1089
(808) 983-6447
Mailing address
1407 HOCKADAY STREET, COQUITLAM, BC V3E2X-3
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
18013
HI
207YS0123X
Facial Plastic Surgery Physician
18013
HI
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
18013
HI
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
18013
HI
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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