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Individual

DR. TEIMOJIN NICHOLAS TAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
447 N MAIN ST, PITTSFIELD, ME 04967-3707
(514) 465-8977
Mailing address
447 N MAIN ST, PITTSFIELD, ME 04967-3707
(514) 465-8977

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DO3564
ME
207Q00000X
Family Medicine Physician
5101023757
MI

Other

Enumeration date
05/21/2018
Last updated
07/17/2023
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