Provider Demographics
NPI:1700837077
Name:TAN, HENG SOON (MD)
Entity Type:Individual
Prefix:
First Name:HENG
Middle Name:SOON
Last Name:TAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:272 CENTRE ST
Mailing Address - Street 2:BRIGHAM AND WOMENS AT NEWTON CORNER
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458
Mailing Address - Country:US
Mailing Address - Phone:617-796-7170
Mailing Address - Fax:617-796-7171
Practice Address - Street 1:272 CENTRE ST
Practice Address - Street 2:BRIGHAM AND WOMENS AT NEWTON CORNER
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458
Practice Address - Country:US
Practice Address - Phone:617-796-7170
Practice Address - Fax:617-796-7171
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2007-08-08
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Provider Licenses
StateLicense IDTaxonomies
MA39787207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine