IndividualActive
Jose Tan, MD
NPI 1528084613 · Personal Emergency Response Attendant · Bridgeport, CT
Provider details
- NPI number
- 1528084613
- Entity type
- Individual
- Primary specialty
- Personal Emergency Response AttendantEmergency Medical Service Providers
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 016788 (CT)
Mailing address
267 Grant St
Bridgeport, CT 06610-2805
Registry dates
- Enumerated
- 2006-07-14
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.