| Dr Edgardo Tan, MD | |
|
314 1st Ave, Elizabeth, NJ 07206-1659 | |
| (908) 353-5280 | |
| Not Available |
| Full Name | Dr Edgardo Tan |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Adolescent Medicine |
| Location | 314 1st Ave, Elizabeth, New Jersey |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356402952 | NPI | - | NPPES |
| 01000060500 | Other | NJ | AMERICHOICE |
| 1398709 | Medicaid | NJ | |
| 1027297 | Other | NJ | HORIZON NJ HEALTH |
| 12278 | Other | NJ | AMERIGROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080A0000X | Pediatrics - Adolescent Medicine | 25MA 042112 (New Jersey) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Edgardo Tan, MD 314 1st Ave, Elizabeth, NJ 07206-1659 Ph: (908) 353-5280 | Dr Edgardo Tan, MD 314 1st Ave, Elizabeth, NJ 07206-1659 Ph: (908) 353-5280 |
Amita N Patel, M.D., Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 817 Rahway Ave, Elizabeth, NJ 07202 Phone: 908-353-5750 Fax: 908-355-2452 | |
Mrs. Karpukarasi Ayyanathan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 517 Rahway Ave, Elizabeth, NJ 07202 Phone: 908-527-1247 Fax: 908-354-8822 | |
Dr. Patricia Laura Czernizer, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 435 Elmora Ave, Elizabeth, NJ 07208 Phone: 908-659-9200 Fax: 908-659-9210 | |
Dr. Kenneth James Davis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 701 Newark Ave, Suite 212, Elizabeth, NJ 07208 Phone: 908-354-9500 Fax: 908-354-9077 | |
Mrs. Kusum Anil Jethwa, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 117 Westfield Ave, Elizabeth, NJ 07208 Phone: 908-354-1400 Fax: 908-354-1400 | |
Dr. Danilo Magallanes Guinto, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 144 Chilton St, Elizabeth, NJ 07202 Phone: 908-659-0429 Fax: 908-659-1559 |