Organization
CENTER FOR CHILDHOOD AND NEONATAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EMILY S. TAN PA (PHYSICIAN ASSISTANT)
(973) 972-0212
Entity
Organization
Contact information
Practice address
90 BERGEN ST. SUITE 7100, NEWARK, NJ 07103
(973) 972-0212
(973) 972-1204
Mailing address
79 SALEM ST, EDISON, NJ 08820-2414
(973) 972-0212
(973) 972-1204
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
25MP00040000
NJ
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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