Tan, Elizabeth Listiani
Tan, Elizabeth Listiani is an individual health care provider with primary practice located at 204 Ark Rd , Mount Laurel NJ 08054-3100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Tan, Elizabeth Listiani can be contacted via phone (856) 866-8102.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25MA08161200 | New Jersey |
Profile Details
| NPI number | 1346210077 |
|---|---|
| LBN Legal business name | Tan, Elizabeth Listiani |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Mar 19th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346210077 | NPPES |
| Pennsylvania | MEDICAID | 0017419190001 | |
| Pennsylvania | MEDICAID | 0129267 |
Popular Providers
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Slawek, Joseph E.
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