Theodore Conrad Ang Tan, MD | |
810 New Burton Rd, Suite 3, Dover, DE 19904-5488 | |
(302) 730-0554 | |
(302) 730-1175 |
Full Name | Theodore Conrad Ang Tan |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 26 Years |
Location | 810 New Burton Rd, Dover, Delaware |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003046624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | C10010131 (Delaware) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Bayhealth Hospital, Kent Campus | Dover, DE | Hospital |
Bayhealth Hospital, Sussex Campus | Milford, DE | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Delaware Primary Care Llc | 3870503469 | 5 |
Entity Name | Delaware Primary Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104852300 PECOS PAC ID: 3870503469 Enrollment ID: O20060426000846 |
Mailing Address | Practice Location Address |
---|---|
Theodore Conrad Ang Tan, MD 810 New Burton Rd, Suite 3, Dover, DE 19904-5488 Ph: (302) 730-0554 | Theodore Conrad Ang Tan, MD 810 New Burton Rd, Suite 3, Dover, DE 19904-5488 Ph: (302) 730-0554 |
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