Individual
DR. CARLYN ROSE CO TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
530 E 74TH ST, NEW YORK, NY 10021-3459
(646) 608-3778
(929) 321-8154
Mailing address
530 E 74TH ST, NEW YORK, NY 10021-3459
(646) 608-3778
(929) 321-8154
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
302078
NY
207RX0202X
Medical Oncology Physician
MD454134
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/16/2011
Last updated
05/09/2022
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