Provider Demographics
NPI:1598990780
Name:TAN, BOON YEW (MBCHB, MRCP, FAMS)
Entity Type:Individual
Prefix:DR
First Name:BOON YEW
Middle Name:
Last Name:TAN
Suffix:
Gender:M
Credentials:MBCHB, MRCP, FAMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 RODGERS FORGE RD APT A
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-1311
Mailing Address - Country:US
Mailing Address - Phone:443-813-9071
Mailing Address - Fax:
Practice Address - Street 1:600 N WOLFE STREET CARNEGIE 592
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0001
Practice Address - Country:US
Practice Address - Phone:410-614-3085
Practice Address - Fax:410-614-0385
Is Sole Proprietor?:No
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24529207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease