Most Relevant Information
Provider Data
| NPI Number: | 1003046624 |
| Provider Name: | THEODORE CONRAD ANG TAN M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207R00000X |
| Specialty: | Internal Medicine |
| License Number: | C10010131 |
Most Important Dates
| Enumeration Date: | 07/16/2009 |
| Last Updated: | 12/28/2015 |
Provider Practice Location
810 NEW BURTON RD
SUITE 3
DOVER
DE
199045488
Practice Location Phone/Fax
| Phone: | 3027300554 |
| Fax: | 3027301175 |
Provider Mailing Location
810 NEW BURTON RD
SUITE 3
DOVER
DE
199045488
Provider Mailing Phone/Fax
| Phone: | 3027300554 |
| Fax: | 3027301175 |
Suggested EMR
Internist EMR