Provider Demographics
NPI:1932643392
Name:INSTITUTE FOR HAND AND ARM SURGERY
Entity Type:Organization
Organization Name:INSTITUTE FOR HAND AND ARM SURGERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VIRAK
Authorized Official - Middle Name:
Authorized Official - Last Name:TAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-947-4700
Mailing Address - Street 1:620 ESSEX ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HARRISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07029-2134
Mailing Address - Country:US
Mailing Address - Phone:973-947-4700
Mailing Address - Fax:888-900-9262
Practice Address - Street 1:345 MAIN ST STE 202
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:NJ
Practice Address - Zip Code:07940-2339
Practice Address - Country:US
Practice Address - Phone:973-947-4700
Practice Address - Fax:888-900-9262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-05
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MAO7231500207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Single Specialty