Individual
DIDEM TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 VALLEY HEALTH PLZ, PARAMUS, NJ 07652-3619
(201) 847-9320
(201) 847-0059
Mailing address
PO BOX 630, FRANKLIN LAKES, NJ 07417-0630
(201) 847-9320
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MB12148500
NJ
Other
Enumeration date
03/26/2020
Last updated
04/19/2024
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