Organization
ELIXIR PEDIATRICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE KWAI-CHE TAN M.D. (M.D.)
(724) 744-3660
Entity
Organization
Contact information
Practice address
3344 ROUTE 130, SUITE A, HARRISON CITY, PA 15636-1238
(724) 744-3660
(724) 744-3815
Mailing address
PO BOX 415, HARRISON CITY, PA 15636-0415
(724) 744-3660
(724) 744-3815
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD041730L
PA
Other
Enumeration date
11/02/2007
Last updated
12/13/2007
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