Individual
TANA ANDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1 MEDICAL CENTER BLVD, POB 1, SUITE 407, CHESTER, PA 19013-3902
(610) 619-7413
Mailing address
1 MEDICAL CENTER BLVD, POB 1, SUITE 407, CHESTER, PA 19013-3902
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS018076
PA
Other
Enumeration date
08/07/2012
Last updated
09/27/2016
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