| Tantalum Health Llc | |
|
35 Runnymede Rd Chatham NJ 07928-1331 | |
| (973) 715-3304 | |
| Not Available |
| Full Name | Tantalum Health Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 35 Runnymede Rd, Chatham, New Jersey |
| Authorized Official Name and Position | Michael S Leung (OWNER/ PRESIDENT) |
| Authorized Official Contact | 9737153304 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tantalum Health Llc 35 Runnymede Rd Chatham NJ 07928-1331 Ph: (973) 715-3304 | Tantalum Health Llc 35 Runnymede Rd Chatham NJ 07928-1331 Ph: (973) 715-3304 |
| NPI Number | 1093349227 |
|---|---|
| Provider Enumeration Date | 02/26/2020 |
| Last Update Date | 02/26/2020 |
| Medicare PECOS PAC ID | 9739518143 |
|---|---|
| Medicare Enrollment ID | O20200407000744 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093349227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Michael S. Leung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558305078 PECOS PAC ID: 3375590276 Enrollment ID: I20050404000142 |
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