Individual
JIANYOU TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(201) 996-2000
Mailing address
PO BOX 23650, NEWARK, NJ 07189-0001
(800) 832-8244
(207) 753-2012
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA07831500
NJ
Other
Enumeration date
06/28/2006
Last updated
02/01/2008
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