Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Edgardo Tan, MD

Individual provider Pediatric Adolescent Medicine Physician · NPI 1356402952

Dr. Edgardo Tan, MD is a Pediatric Adolescent Medicine Physician in Elizabeth, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

314 1st Ave
Elizabeth, NJ 07206-1659
Phone: (908) 353-5280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence 25MA 042112 (NJ)

Record details

NPI number1356402952
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 13, 2006
Last updated in NPPESJuly 9, 2007

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