NPI 1023647922

Jia Wei Tan, MD

Practitioner Student in an Organized Health Care Education/Training Program Bridgeport, CT

Practice location

Address: 267 Grant St, Bridgeport, CT 06610-2805
Phone: (203) 384-3792

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Connecticut →

Registry record

NPI: 1023647922
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Apr 2020
Record last updated: 3 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.