Individual
OON TIAN TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
243 CHARLES STREET, BOSTON, MA 02114
(617) 573-6493
(617) 424-8428
Mailing address
243 CHARLES STREET, BOSTON, MA 02114
(617) 573-6493
(617) 424-8428
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
51655
MA
Other
Enumeration date
03/31/2006
Last updated
10/08/2015
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