Tan, Kong

Tan, Kong is an individual health care provider with primary practice located at 727 N Beers St , Holmdel NJ 07733-1514. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Tan, Kong can be contacted via phone (732) 739-5847.

Contact Information

Primary practice address
727 N Beers St Holmdel NJ 07733-1514
Phone: (732) 739-5847
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA03121400 New Jersey
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 25MA03121400 New Jersey

Profile Details

NPI number 1184667289
LBN Legal business name Tan, Kong
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jan 4th, 2011 - about 14 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 1184667289 NPPES
New Jersey MEDICAID 0152871
New Jersey Other 2406192000
New Jersey Other 221494442
New Jersey Other 60014873
New Jersey Other P3617811
New Jersey Other P00247907
New Jersey Other XK5557

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