Dr. Irene J. Tan
Rheumatology
9880 Bustleton Ave
Philadelphia
, Pennsylvania 19115-2185
Dr. Irene J. Tan
Rheumatology
9880 Bustleton Ave
Philadelphia
, Pennsylvania 19115-2185
(215) 707-4034
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Dr. Irene J. Tan
- 2450 W Hunting Park Ave
- Philadelphia, PA
- Zip : 19129-1302
- Fax : (215) 707-4034
- Phone : (215) 707-4600
Second Address
- Dr. Irene J. Tan
- 9880 Bustleton Ave
- Philadelphia, PA
- Zip : 19115-2185
- Fax : (215) 827-1501
- Phone : (215) 827-1500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | MD445427 | PA |
National Provider Identifier
| NPI | 1083684500 |
|---|---|
| Provider Name | Dr. Irene J. Tan |
| First Address | Philadelphia, PA 19129-1302 |
| Second Address | Philadelphia, PA 19115-2185 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/01/2006 |
| Last Update Date | 06/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 010037521CT01 | BCBS PROVIDER ID (01) | CT |
| 1891982005 | GROUP NPI (01) | CT |
| 2V7063 | HEALTH NET PROVIDER ID (01) | CT |
| C03453 | MEDICARE GROUP PIN (01) | CT |
| H00622 | (02) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.