Individual
DAVE TAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
286 CENTRAL AVE, JERSEY CITY, NJ 07307-3013
(201) 656-4392
Mailing address
286 CENTRAL AVE, JERSEY CITY, NJ 07307-3013
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02997900
NJ
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
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