Individual
DR. WEI SHEN TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD, FRCS
Contact information
Practice address
YALE NEW HAVEN HOSPITAL, 20 YORK ST, NEW HAVEN, CT 06520
(203) 688-4242
Mailing address
47 RIDGEWOOD TER, NORTH HAVEN, CT 06473-1256
(346) 509-1931
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
77416
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2023
Last updated
10/03/2024
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