| Leong Hean Tan Md Pa | |
|
121 Shelley Dr Ste 1d Hackettstown NJ 07840-2530 | |
| (908) 852-0901 | |
| (908) 850-8730 |
| Full Name | Leong Hean Tan Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 121 Shelley Dr Ste 1d, Hackettstown, New Jersey |
| Authorized Official Name and Position | Leong Hean Tan (PHYSICIAN) |
| Authorized Official Contact | 9088520901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leong Hean Tan Md Pa Po Box 7205 Hackettstown NJ 07840-7205 Ph: (908) 852-0901 | Leong Hean Tan Md Pa 121 Shelley Dr Ste 1d Hackettstown NJ 07840-2530 Ph: (908) 852-0901 |
| NPI Number | 1184970113 |
|---|---|
| Provider Enumeration Date | 07/27/2012 |
| Last Update Date | 07/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184970113 | NPI | - | NPPES |
| 2820307 | Medicaid | NJ | |
| TA104403 | Other | NJ | MEDICARE ID/PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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