Individual
GENEVIEVE TAN CO FAUSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4310 CLIME RD, SUITE B, COLUMBUS, OH 43228-3496
(614) 274-7799
(614) 274-3209
Mailing address
4310 CLIME RD, SUITE B, COLUMBUS, OH 43228-3496
(614) 274-7799
(614) 274-3209
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-122566
OH
207R00000X
Internal Medicine Physician
MD440857
PA
Other
Enumeration date
01/24/2010
Last updated
04/08/2022
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