Alan Keith Tannenbaum in New Brunswick - Specialist

Alan Keith Tannenbaum - NPI 1588747521

Alan Keith Tannenbaum is a Specialist in New Brunswick, New Jersey. Alan Keith Tannenbaum practices all healthcare services and medical treatments related to Specialist. The NPI Number for Alan Keith Tannenbaum is 1588747521. The last update date is 2010-04-08.

Alan Keith Tannenbaum's current location address is 10 Plum Street, New Brunswick, New Jersey. You can contact this provider via phone number 7322494410 and fax number 7322491208. The mailing address for Alan Keith Tannenbaum is 10 Plum Street, New Brunswick, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Alan Keith Tannenbaum
Address 10 Plum Street, New Brunswick, New Jersey
Phone Number 7322494410
Fax Number 7322491208
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1588747521
Provider Enumeration Date 2006-10-23
Last Updated Date 2010-04-08

Provider Mailing Address Detail

Address 10 Plum Street
City New Brunswick
State New Jersey (NJ)
Post Code 8901
Phone Number 7322494410
Fax Number 7322491208

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No MA048977
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
60015491 NJ RR MEDICARE PTAN
1092802 NJ HORIZON NJ HEALTH
15634 NJ UNIVERSITY HEALTH PLANS
F04685 NJ HEALTHNET
60015491 NJ RR MCR PTAN
M10000542 01 NJ AMERICHOICE
29269 NJ BEECH STREET
626708 NJ --
18141 NJ AMERIGROUP

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FAQs about Alan Keith Tannenbaum

What is the unique identifier code issued to Alan Keith Tannenbaum by the Centers for Medicare & Medicaid Services?

The Alan Keith Tannenbaum has been assigned the NPI (National Provider Identifier) 1588747521. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Alan Keith Tannenbaum's facilities are geographically located?

The facilities of Alan Keith Tannenbaum are physically situated at the following location: 10 Plum Street, New Brunswick, NJ, 8901.

What is the Alan Keith Tannenbaum's specialty and taxonomy code?

The Alan Keith Tannenbaum's specialty is Specialist, and the corresponding taxonomy code is 174400000X.

When was the Alan Keith Tannenbaum's 1588747521 issued?

The Alan Keith Tannenbaum's 1588747521 was issued on 2006-10-23.

As of what date were the Alan Keith Tannenbaum's details last updated?

The information pertaining to the Alan Keith Tannenbaum, including its address, specialty, and other details, was most recently updated on 2010-04-08.

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