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Individual

TEDMAN LUCERO TAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
150 S MAIN RD, VINELAND, NJ 08360-7828
(856) 691-2152
(856) 696-3474
Mailing address
150 S MAIN RD, VINELAND, NJ 08360-7828
(609) 513-9150

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00343900
NJ

Other

Enumeration date
03/30/2015
Last updated
04/30/2025
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