Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Internal Medicine |
207R00000X | 11 | Physician/Internal Medicine | |
Student Health |
261QS1000X |
| NPI Number | 1407435670 |
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| Entity | Organization | ||||
| Organization subpart 1 | Not specified | ||||
| Enumeration date | 04/05/2021 | ||||
| Last updated | 08/14/2024 - More than a year ago | ||||
| Identifiers |
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DEBORAH TAN
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