Organization
DEER PARK INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE HONG TAN MD, PHD (PHYSICIAN)
(301) 208-1188
Entity
Organization
Contact information
Practice address
600 S FREDERICK AVE, SUITE 302, GAITHERSBURG, MD 20877-1245
(301) 208-1188
(301) 208-1178
Mailing address
600 S FREDERICK AVE, SUITE 302, GAITHERSBURG, MD 20877-1245
(301) 208-1188
(301) 208-1178
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
D0060871
MD
Other
Enumeration date
10/19/2007
Last updated
12/03/2007
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