Pan, Tai

Pan, Tai is an individual health care provider with primary practice located at 308 Willow Ave , Hoboken NJ 07030-3808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Pan, Tai can be contacted via phone (201) 945-2481.

Contact Information

Primary practice address
308 Willow Ave Hoboken NJ 07030-3808
Phone: (201) 945-2481
Fax: (201) 943-8105
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA02632800 New Jersey

Profile Details

NPI number 1710953138
LBN Legal business name Pan, Tai
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710953138 NPPES
New Jersey Other E54426 UNIVERSAL PROVIDER NUMBER
New Jersey MEDICAID 0311707 UNIVERSAL PROVIDER NUMBER

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