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NPI Code Detail

MEDICARE: ALDRIN TAN

MEDICARE: ALDRIN TAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystLBA1429MD

General Provider Information

NPI Number : 1649802398
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALDRIN TAN
Provider Business Mailing Address
First Line : 4485 FORBES BLVD
Second Line :
City : LANHAM
State : MD
Zip : 20706-4354
Country : US
Telephone Number : 301-429-2900
Fax Number :
Provider Business Practice Location Address
First Line : 4485 FORBES BLVD
Second Line :
City : LANHAM
State : MD
Zip : 20706-4354
Country : US
Telephone Number : 301-429-2900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2020
Last Update Date : 11/07/2022

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Directions to “ ALDRIN TAN ” Practice Location

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