Tetris Ylizah Tan, MD Valid NPI
Individual provider · Student in an Organized Health Care Education/Training Program · Long Branch, NJ
- NPI
- 1104506005
- Type
- Individual (Type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Specialty group
- Student, Health Care
- Taxonomy code
- 390200000X
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2023-07-25
- Last updated
- 2023-07-25
Practice location
300 2nd Ave
Long Branch, NJ 07740-6303
(732) 222-5200