Individual
EMMANUEL TAN QUIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 728-2500
(215) 728-3639
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19182-0933
(215) 728-2500
(215) 728-3639
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD050469L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001643749
—
PA
01
—
0164374901
AMERICHOICE
PA
01
—
0416629000
INDEPENDENCE BLUE CROSS
PA
01
—
1064956
KEYSTONE MERCY HEALTH
PA
01
—
1400
BRAVO HEALTH
PA
01
—
3215831
AETNA HMO
PA
01
—
3Y2515
HEALTH NET
PA
01
—
519042
COVENTRY HEALTH AMERICA
PA
01
—
5288554
AETNA PPO
PA
01
—
906433
HIGHMARK BLUE SHIELD
PA
01
—
P00025016
RAILROAD MEDICARE
PA
Enumeration date
12/01/2005
Last updated
04/06/2018
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