Individual
PAUL DE LEON TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 973-7000
(207) 973-5042
Mailing address
43 WHITING HILL RD, SUITE 300, BREWER, ME 04412-1005
(207) 973-5035
(207) 973-5042
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
86361
SC
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD20088
ME
Other
Enumeration date
01/04/2013
Last updated
10/28/2021
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