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Individual

SHIRLEY TAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7 DUNNING STREET, CLAREMONT, NH 03743
(603) 542-6700
(603) 542-6703
Mailing address
243 ELM STREET, CLAREMONT, NH 03743
(603) 542-6700
(603) 542-6703

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9263
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1014012
VT
05
3077278
NH
Enumeration date
04/18/2006
Last updated
05/13/2016
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