MARY ALDRENE TAN M.D. – NPI #1255510194
Pathology

A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy.

MARY ALDRENE TAN is a pathologist located in NEEDHAM, MA. NPPES has assigned the NPI number 1255510194 to MARY ALDRENE TAN on October 29, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ZD0900X from the Health Care Provider Taxonomy code set, which is classified as Pathology, specializing in Dermatopathology

The NPI profile was previously updated about 8 years ago on Mar 21, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARY ALDRENE TAN below.

NPI Profile for
MARY ALDRENE TAN

NPI Number
1255510194
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARY ALDRENE TAN
Credentials
M.D.
Primary location
15 CRAWFORD ST STE 100
NEEDHAM, MA 02494-2618
Phone: (617) 969-4100 Fax: (617) 969-3393
Mailing address
PO BOX 840294
DALLAS, TX 75284-0294
Phone: (888) 344-1160 Fax: (972) 331-3148
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ZD0900X
- Pathology / Dermatopathology (Primary)
NY 238301-1
207ZP0102X
- Pathology / Anatomic Pathology & Clinical Pathology
NY 238301-1

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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