Mark P. Tanenbaum in Fairfax - Cardiovascular Disease
Mark P. Tanenbaum - NPI 1114929247
Mark P. Tanenbaum is a Cardiovascular Disease in Fairfax, Virginia. Mark P. Tanenbaum practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Mark P. Tanenbaum is 1114929247. The last update date is 2022-08-25.
Mark P. Tanenbaum's current location address is 3580 Joseph Siewick Dr Ste 305, Fairfax, Virginia. You can contact this provider via phone number 7036483266 and fax number 7036483264. The mailing address for Mark P. Tanenbaum is 3580 Joseph Siewick Dr Ste 305, Fairfax, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark P. Tanenbaum |
|---|---|
| Address | 3580 Joseph Siewick Dr Ste 305, Fairfax, Virginia |
| Phone Number | 7036483266 |
| Fax Number | 7036483264 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1114929247 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2022-08-25 |
Provider Mailing Address Detail
| Address | 3580 Joseph Siewick Dr Ste 305 |
|---|---|
| City | Fairfax |
| State | Virginia (VA) |
| Post Code | 2203317640 |
| Phone Number | 7036483266 |
| Fax Number | 7036483264 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 101043105 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 31738500 | DC | -- | |
| 60035106 | DC | RAILROAD MEDICARE DC # | |
| 60062627 | VA | RAILROAD MEDICARE VA # | |
| 1114929247 | VA | -- | |
| 121300800 | MD | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark P. Tanenbaum by the Centers for Medicare & Medicaid Services?
The Mark P. Tanenbaum has been issued the NPI (National Provider Identifier) 1114929247, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark P. Tanenbaum's facilities are geographically located?
The facilities of Mark P. Tanenbaum are physically situated at the following location: 3580 Joseph Siewick Dr Ste 305, Fairfax, VA, 2203317640.
What is the Mark P. Tanenbaum's specialty and taxonomy code?
The Mark P. Tanenbaum's specialty is Cardiovascular Disease, and the corresponding taxonomy code is 207Rc0000X.
When was the Mark P. Tanenbaum's 1114929247 issued?
The Mark P. Tanenbaum's 1114929247 was issued on 2005-06-01.
When was the information pertaining to Mark P. Tanenbaum most recently updated or revised?
The details related to Mark P. Tanenbaum, including its address, specialty, and other relevant information, were last updated or revised on 2022-08-25.