Organization
CONNIE T TAN, M D A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CONNIE TENG TAN M.D. (CEO)
(650) 988-7688
Entity
Organization
Contact information
Practice address
2485 HOSPITAL DR, SUITE 251, MOUNTAIN VIEW, CA 94040-4101
(650) 988-7688
(650) 988-7638
Mailing address
2485 HOSPITAL DR, SUITE 251, MOUNTAIN VIEW, CA 94040-4101
(650) 988-7688
(650) 988-7638
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G634870
CA
Other
Enumeration date
05/13/2011
Last updated
05/16/2011
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