Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDGARDO TAN, M.D.
Active Sole ProprietorDR. EDGARDO TAN, M.D. is a Adolescent Medicine (Pediatrics) healthcare provider located in ELIZABETH, New Jersey. NPI 1356402952 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine (Pediatrics) · ELIZABETH, NJ
Registration Details
- NPI Number
- 1356402952
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 13, 2006 (19.700812237099 yrs)
- Last Updated
- Jul 9, 2007
- License
-
25MA 042112 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
314 1ST AVEELIZABETH, NJ, 072061659Browse NJ providers · Browse ZIP 07206
- Phone
- 9083535280
- Primary Specialty
-
Adolescent Medicine (Pediatrics)
2080A0000X
Other Adolescent Medicine (Pediatrics) Providers in ELIZABETH, NJ
| Name | Credential | NPI |
|---|---|---|
| APARNA BHAMIDIPATI | MD | 1710967039 |
| AMITA N PATEL | M.D. | 1053466672 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.