IndividualActive
Andrew Tan, DO
NPI 1487234647 · Student in an Organized Health Care Education/Training Program · Providence, RI
Provider details
- NPI number
- 1487234647
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 1025199 (MA)
Specialties & taxonomies
Student, Health Care
Allopathic & Osteopathic Physicians
Practice location
593 Eddy St
Providence, RI 02903-4923
Phone: (401) 793-2695
Fax: (401) 444-4165
Approximate (ZIP-level) locationGet directions
Mailing address
593 Eddy St
Providence, RI 02903-4923
Additional practice locations (1)
- 40 Wright StPalmer, MA 01069-1138Phone: (413) 284-5308Fax: (413) 284-5413
Registry dates
- Enumerated
- 2021-04-12
- Last updated
- 2026-01-02
- Certified
- 2026-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.