Individual
ALVA TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
245 HARTFORD AVE STE 1, BELLINGHAM, MA 02019-3007
(774) 295-4355
(774) 295-4880
Mailing address
360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 03801-7105
(603) 410-6700
(603) 319-8308
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA01631
RI
363A00000X
Physician Assistant
Primary
PA9586
MA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/12/2022
Last updated
05/31/2025
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