Provider Demographics
NPI:1235196460
Name:TAN, PUAY ENG (MD, FRCPATH (UK))
Entity Type:Individual
Prefix:DR
First Name:PUAY ENG
Middle Name:
Last Name:TAN
Suffix:
Gender:F
Credentials:MD, FRCPATH (UK)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 BROWNING RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON CENTRE
Mailing Address - State:MA
Mailing Address - Zip Code:02459-2401
Mailing Address - Country:US
Mailing Address - Phone:617-332-1346
Mailing Address - Fax:
Practice Address - Street 1:1 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1311
Practice Address - Country:US
Practice Address - Phone:978-458-1411
Practice Address - Fax:978-934-8401
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA82006207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA34828OtherHARVARD PILGRIM
MAJ17778OtherBLUE CROSS
MA3166066Medicaid
220029311OtherRAILROAD MEDICARE
MA767645OtherTUFTS
MA61963OtherFALLON
MA34828OtherHARVARD PILGRIM