Individual
MARISSA LUAN TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO, MPH
Contact information
Practice address
800 COOPER ST STE 4004TH, CAMDEN, NJ 08102-1155
(856) 342-3040
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
(732) 790-0107
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
25MB12089100
NJ
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
H0087983
MD
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
OS020328
PA
2083P0901X
Public Health & General Preventive Medicine Physician
25MB12089100
NJ
2083P0901X
Public Health & General Preventive Medicine Physician
H0087983
MD
2083P0901X
Public Health & General Preventive Medicine Physician
OS020328
PA
Other
Enumeration date
03/29/2018
Last updated
06/19/2024
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