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Contact Information

EDWIN V TAN, MD
2 GREAT FALLS PLZ STE 21
AUBURN, ME04210
 Phone: 207-330-3950
 Fax: 207-330-3955
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for EDWIN V TAN · (Male)

NPI # 1629074240
Status Active
Credentials MD
Entity Individual
Enumeration date 06/28/2005
Last updated 08/10/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • ME License # MD14191
  • ME Medicaid 294700099
Hospital affiliation(s)
  • ST MARYS REGIONAL MEDICAL CENTER - (Acute Care)
    CAMPUS AVENUE - PO BOX 291
    LEWISTON, ME 04240
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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