Tan, Madeline P

Tan, Madeline P is an individual health care provider with primary practice located at 6601 Ventnor Ave Suite #14, Ventnor City NJ 08406. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tan, Madeline P can be contacted via phone (609) 487-6507.

Contact Information

Primary practice address
6601 Ventnor Ave Suite #14 Ventnor City NJ 08406
Phone: (609) 487-6507
Fax: (609) 487-6508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35647 Kentucky
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA06846600 New Jersey

Profile Details

NPI number 1720068414
LBN Legal business name Tan, Madeline P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Oct 5th, 2012 - about 12 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 1720068414 NPPES
New Jersey MEDICAID 0161144
New Jersey MEDICAID 64016579

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