Provider Demographics
NPI:1245713692
Name:TAN, YUN JUNE ANGELA
Entity type:Individual
Prefix:
First Name:YUN JUNE ANGELA
Middle Name:
Last Name:TAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:C/O JENNIFER SANCHEZ DEPARTMENT OF ANESTHESIOLOGY CRITI
Mailing Address - Street 2:300 LONGWOOD AVENUE BCH 3216
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-355-8173
Mailing Address - Fax:617-730-0894
Practice Address - Street 1:BOSTON CHILDRENS HOSPITAL DEPARTMENT OF ANESTHESIOLOGY
Practice Address - Street 2:300 LONGWOOD AVENUE BCH 3216
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-355-8173
Practice Address - Fax:617-730-0894
Is Sole Proprietor?:No
Enumeration Date:2018-09-12
Last Update Date:2018-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program