Individual
DR. JONATHAN M TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
3401 CIVIC CENTER BLVD, MAIN BUILDING, 9TH FLOOR, SUITE #9329, PHILADELPHIA, PA 19104-4319
(215) 590-1866
(215) 590-1415
Mailing address
100 E PENN SQ, THE WANAMAKER BLDG., 9TH FL, N, PHILADELPHIA, PA 19107-3323
(267) 425-9300
(267) 425-9331
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD449265
PA
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD449265
PA
Other
Enumeration date
04/13/2009
Last updated
01/18/2017
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