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Contact Information

KONG TAN, MD
727 N BEERS ST
HOLMDEL, NJ07733-1514
 Phone: 732-739-5847
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for KONG TAN · (Male)

NPI Number 1184667289
Status Active
Credentials MD
Entity Individual
Enumeration date 06/14/2006
Last updated 01/04/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA03121400
  • NJ Medicaid 0152871
  • NJ Other 2406192000 AMERIHEALTH #
  • NJ Other XK5557 HEALTHNET #
  • NJ Other 60014873 HORIZON NJ HEALTH #
  • NJ Other P3617811 OXFORD #
  • NJ Other P00247907 RR MDCR #
  • NJ Other 221494442 TAX ID#
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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