Organization
JOSHUA CH TAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA CH TAN MD (PRESIDENT OF THE CORPORATION)
(808) 949-8988
Entity
Organization
Contact information
Practice address
550 S BERETANIA ST, STE # 608, HONOLULU, HI 96813-2414
(808) 949-8988
(808) 538-1920
Mailing address
550 S BERETANIA ST, STE # 608, HONOLULU, HI 96813-2496
(808) 949-8988
(808) 538-1920
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
7552
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07096001
—
HI
01
—
GW054A
PTAN
—
Enumeration date
04/28/2006
Last updated
12/31/2014
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