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Contact Information

VIGILIO M TAN, MD
219 S SPRING STREET
MARTINSBURG, WV25401
 Phone: 304-267-9981
 Fax: 304-267-5884
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for VIGILIO M TAN · (Male)

NPI Number 1629161815
Status Active
Credentials MD
Entity Individual
Enumeration date 10/02/2006
Last updated 11/14/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 13607
  • WV Medicaid 0096657000
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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