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Contact Information

TERESA X TAN, MD
860 OMNI BLVD
SUITE 101
NEWPORT NEWS, VA23606
 Phone: 757-223-9794
 Fax: 757-223-9168
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics

207VX0000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for TERESA X TAN · (Female)

NPI Number 1316149214
Status Active
Credentials MD
Entity Individual
Enumeration date 06/03/2007
Last updated 12/02/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0116017793
Hospital affiliation(s)
  • MARY IMMACULATE HOSPITAL - (Acute Care)
    2 BERNARDINE DRIVE
    NEWPORT NEWS, VA 23602
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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