Organization
BAYONNE CARDIOLOGY GROUP, PA
Active
Organization
BAYONNE CARDIOLOGY GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM TAN MD (HEAD DOCTOR)
(201) 858-2604
Entity
Organization
Contact information
Practice address
29 E 29TH ST, BAYONNE, NJ 07002-4654
(201) 858-2604
Mailing address
PO BOX 63, BAYONNE, NJ 07002-0063
(201) 858-2604
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3220001
—
NJ
Enumeration date
05/16/2007
Last updated
08/22/2020
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