Individual
ALLISON SY TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10 BAHR CIR, VERONA, NJ 07044-3200
(732) 694-8862
Mailing address
30 W CENTURY RD STE 235, PARAMUS, NJ 07652-1421
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00566300
NJ
363AS0400X
Surgical Physician Assistant
—
NJ
Other
Enumeration date
05/29/2020
Last updated
06/18/2025
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