Tan, Irene J.

Tan, Irene J. is an sole proprietor health care provider with primary practice located at 9880 Bustleton Ave , Philadelphia PA 19115-2185. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Tan, Irene J. can be contacted via phone (215) 827-1500.

Contact Information

Primary practice address
9880 Bustleton Ave Philadelphia PA 19115-2185
Fax: (215) 827-1501
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD445427 Pennsylvania

Profile Details

NPI number 1083684500
LBN Legal business name Tan, Irene J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2006
Last updated Nov 6th, 2020 - about 4 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 1083684500 NPPES
Connecticut Other 1891982005 GROUP NPI
Connecticut Other C03453 GROUP NPI
Connecticut Other 010037521CT01 GROUP NPI
Connecticut Other 2V7063 GROUP NPI

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