Individual
ANDREW TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 793-2695
(401) 444-4165
Mailing address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 793-2695
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1025199
MA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/12/2021
Last updated
01/02/2026
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