Individual
TAMMY CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
200 BOWMAN DR STE E385, VOORHEES, NJ 08043-9638
(856) 840-4534
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00563800
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00563800
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00563800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0478032
—
NJ
Enumeration date
06/08/2015
Last updated
11/22/2024
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