DR. MARY ALDRENE TAN (NPI# 1255510194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255510194 |
| Entity Type | Individual |
| Full Name | DR. MARY ALDRENE TAN |
| Credential | M.D. |
| Practice Address |
15 Crawford St Ste 100 Needham MA 02494-2618 |
| Mailing Address |
Po Box 840294 Dallas TX 75284-0294 |
| Practice Telephone | 6179694100 |
| Practice Fax Number | 6179693393 |
| Mailing Telephone | 8883441160 |
| Mailing Fax Number | 9723313148 |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2018-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
238301-1 | NY | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
238301-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
15 CRAWFORD ST STE 100 |
| City | NEEDHAM |
| State | MA |
| Zip Code | 02494-2618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043206527 | Elsa Velazquez | Dermatology | 15 Crawford St Ste 100, Needham, MA 02494-2618 | 2005-09-21 |
| 1710271614 | Hedieh Honarpisheh | Pathology | 15 Crawford St Ste 100, Needham, MA 02494-2618 | 2011-06-08 |
| 1649571407 | Riem Badr | Pathology | 15 Crawford St Ste 100, Needham, MA 02494-2618 | 2010-11-10 |
| 1790913887 | Gretchen Williams Frieling | Pathology | 15 Crawford St Ste 100, Needham, MA 02494-2618 | 2009-06-26 |
| 1396998761 | Marier Hernandez-perez | Pathology | 15 Crawford St Ste 100, Needham, MA 02494-2618 | 2008-10-29 |
| 1447425954 | Mahmoud Goodarzi | Pathology | 15 Crawford St Ste 100, Needham, MA 02494-2618 | 2008-04-25 |
| 1982892121 | Mandana Mahmoodi | Pathology | 15 Crawford St Ste 100, Needham, MA 02494-2618 | 2007-10-12 |
| 1396945838 | Tanya Arvind Rege | Pathology | 15 Crawford St Ste 100, Needham, MA 02494-2618 | 2007-07-23 |
| 1710059316 | Christopher A Dowling | Pathology | 15 Crawford St Ste 100, Needham, MA 02494-2618 | 2006-11-15 |
| 1831293703 | Adriano Piris | Pathology | 15 Crawford St Ste 100, Needham, MA 02494-2618 | 2006-09-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134604531 | Allison Nicole Lamb | Physical Therapist | 145 Rosemary St Ste K3, Needham Heights, MA 02494 | 2018-10-01 |
| 1386126324 | Judy R Heithmar | Social Worker | 237 Highland Avenue, Needham, MA 02494 | 2018-09-06 |
| 1215414032 | Sarah Moore-ede | Registered Nurse | 224 Hunnewell St, Needham Heights, MA 02494 | 2018-07-24 |
| 1336638857 | Kaitlin Kramer | Speech-Language Pathologist | 145 Rosemary St. Suite C, Children's Speech and Feeding Therapy, Inc., Needham, MA 02494 | 2018-05-10 |
| 1831687607 | Molly Alexandra Cleveland | Speech-Language Pathologist | Children's Speech and Feeding Therapy Inc., 145 Rosemary St. Suite C, Needham, MA 02494 | 2018-04-27 |
| 1851808364 | Sally Barbara Miller | Social Worker | 50 Cabot Street Suite 206, Plan of Massachusetts and Rhode Island, Needham, MA 02494 | 2018-01-05 |
| 1518406453 | Ddmdmd Dental Associates | Dentist | 32 Wexford St, Needham, MA 02494 | 2017-02-13 |
| 1508312745 | Brittany Lee Bernier | Social Worker | 687 Highland Avenue - 3rd Floor, Needham Heights, MA 02494 | 2016-08-28 |
| 1760839914 | Catherine Nasser | Counselor | 400 Hunnewell St, Suite 6r, Needham, MA 02494 | 2016-05-18 |
| 1104294248 | Shirley Huang | Speech-Language Pathologist | 160 Gould Street, Needham, MA 02494 | 2015-09-07 |
| Find all providers in zip 02494 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710271614 | Hedieh Honarpisheh | Pathology | 15 Crawford St Ste 100, Needham, MA 02494-2618 | 2011-06-08 |
| 1790913887 | Gretchen Williams Frieling | Pathology | 15 Crawford St Ste 100, Needham, MA 02494-2618 | 2009-06-26 |
| 1982892121 | Mandana Mahmoodi | Pathology | 15 Crawford St Ste 100, Needham, MA 02494-2618 | 2007-10-12 |
| 1295775385 | Alejandro Peralta Soler | Pathology | 15 Crawford St Ste 100, Needham, MA 02494 | 2006-06-07 |
| 1609864404 | Mei-yu Hsu | Pathology | 15 Crawford St Ste 100, Needham, MA 02494-2618 | 2005-10-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144631367 | Candice Elizabeth Brem | Pathology | 609 Albany St # J-300, Boston, MA 02118-2515 | 2014-05-09 |
| 1649500737 | Aurora Massachusetts, LLC | Pathology | 1 Center Plz, Suite 270, Boston, MA 02108-1887 | 2010-01-12 |
| 1770502908 | Beatriz Tapia-centola | Pathology | 1 Cranberry Hl, Suite 303, Lexington, MA 02421-7394 | 2006-07-19 |
| 1184600017 | Hongmei Li | Pathology | 1380 Soldiers Field Rd, Suite 100, Brighton, MA 02135-1023 | 2005-12-22 |
| 1598750234 | Stephen R Lyle | Pathology | 1 Innovation Dr, Three Biotech, Department of Pathology, Worcester, MA 01605-4307 | 2005-09-19 |
| 1164429247 | Timothy Robert Quinn | Pathology | 2 Wells Ave, Newton, MA 02459-3225 | 2005-07-05 |
| 1811499064 | Dermdiagnostics PC | Pathology | 426 South St, Pittsfield, MA 01201-8228 | 2018-03-05 |
| 1851720262 | Scott H Bradshaw | Pathology | 55 Fruit St., Massachusetts General Hospital, Boston, MA 02114 | 2013-11-06 |
| 1255649828 | New England Tissue Issue, Inc | Pathology | 1822 N Main St, Suite 302, Fall River, MA 02720-1318 | 2010-09-16 |
| 1225353618 | Margaret Choy Merola | Pathology | 75 Francis Street, Boston, MA 02115-6110 | 2010-03-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.