Dr. Wilson L Tan , MD
General Practice • Vineland, NJ
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Wilson Tan has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Wilson Tan, MD was a registered General Practice practicing in Vineland, NJ. Throughout an active medical career spanning 16 years, Dr. Tan provided care at the practice location at 1676 E LANDIS AVE until profile deactivation on 2022-11-22.
Practice Location & Contact Primary Location
1676 E Landis Ave
Vineland, NJ 08362
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Vineland, NJ
Practicing in Vineland, NJ (269 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Internal Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Osteopathic Medicine (D.O.)
General Practice
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 22, 2022
NPI status registered as active in NPPES database
Registered at 1676 E LANDIS AVE, VINELAND, NJ 08362 (Tel: 8566966431)
Registered at 2430 MONROE AVE, VINELAND, NJ 08361 (Tel: 8566910080)
Recorded as WILSON TAN, MD
General Practice (License #25MA04257700 in NJ)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
2430 Monroe Ave
Vineland, NJ 08361
Phone: 8566910080
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