O.T. Tan, M.D., P.C.

LBN: O.T. Tan, M.D., P.C.
O.T. Tan, M.D., P.C. is an health care organization with primary practice located at 29 Commonwealth Ave Suite #101, Boston MA 02116-2349. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. O.T. Tan, M.D., P.C. can be contacted via phone (617) 424-8335, or through Tan, Oon Tian via phone (617) 424-8335.

Contact Information

Primary practice address
29 Commonwealth Ave Suite #101 Boston MA 02116-2349
Phone: (617) 424-8335
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tan, Oon Tian M.D., PH.D.
Phone: (617) 424-8335

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 51655 Massachusetts

Profile Details

NPI number 1114198306
LBN Legal business name O.T. Tan, M.D., P.C.
DBA Doing business as
Authorized official Tan, Oon Tian M.D., PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 17th, 2008
Last updated Mar 17th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114198306 NPPES
Massachusetts Other J04322 BLUE CROSS BLUE SHIELD

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