Individual
DR. MYRNA MARIANO TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 EAST LEHIGH AVE., ESPISCOPAL HOSPITAL, PHILADELPHIA, PA 19125
(215) 707-1200
Mailing address
617 GEN. LAFAYETTE RD., MERION STATION, PA 19066
(610) 667-8438
(610) 667-8438
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD034942L
PA
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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