Individual
KEVIN TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-2000
Mailing address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-2000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00736900
NJ
Other
Enumeration date
07/23/2017
Last updated
07/21/2022
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