Organization · Type 2 NPI

O.t. Tan, M.d., P.c.

Specialist · Boston, MA

NPI number 1114198306 Active

Practice location

29 Commonwealth Ave, Suite #101
Boston, MA 02116-2349

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X51655 (MA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1114198306

O.t. Tan, M.d., P.c.'s National Provider Identifier is 1114198306, issued on Mar 17, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Boston, MA. The record was last updated on Mar 17, 2008.