Individual
EDWIN V TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 GREAT FALLS PLZ STE 21, AUBURN, ME 04210
(207) 330-3950
(207) 330-3955
Mailing address
PO BOX 7291, LEWISTON, ME 04243-7291
(207) 755-3781
(207) 777-8800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD14191
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
294700099
—
ME
Enumeration date
06/28/2005
Last updated
08/10/2018
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