Individual
DR. JACQUELINE E TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
218123
NY
2085R0001X
Radiation Oncology Physician
Primary
237355
MA
Other
Enumeration date
08/03/2005
Last updated
03/05/2020
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