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
Phone: (215) 827-1500
Fax: (215) 827-1501
Website:
Health care specialties
| Specialty | Code | License # | 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 5 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 | 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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