Individual
ESRA TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2000
Mailing address
6 GRAND ST, HIGHLAND LAKES, NJ 07422-1301
(201) 873-7287
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NR20175600
NJ
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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