Matt Tannenbaum in Idaho Falls - Anatomic Pathology & Clinical Pathology
Matt Tannenbaum - NPI 1093783375
Matt Tannenbaum is a Anatomic Pathology & Clinical Pathology in Idaho Falls, Idaho. Matt Tannenbaum practices all healthcare services and medical treatments related to Anatomic Pathology & Clinical Pathology. The NPI Number for Matt Tannenbaum is 1093783375. The last update date is 2012-12-27.
Matt Tannenbaum's current location address is 1820 E 17th St, Idaho Falls, Idaho. You can contact this provider via phone number 2085299779 and fax number 2085422756. The mailing address for Matt Tannenbaum is 1820 E 17th St, Idaho Falls, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Matt Tannenbaum |
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Address | 1820 E 17th St, Idaho Falls, Idaho |
Phone Number | 2085299779 |
Fax Number | 2085422756 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1093783375 |
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Provider Enumeration Date | 2006-03-10 |
Last Updated Date | 2012-12-27 |
Provider Mailing Address Detail
Address | 1820 E 17th St |
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City | Idaho Falls |
State | Idaho (ID) |
Post Code | 834046521 |
Phone Number | 2085299779 |
Fax Number | 2085422756 |
Provider's Primary Taxonomy Detail
Speciality | Anatomic Pathology & Clinical Pathology |
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Taxonomy | 207Zp0102X |
Licence No | M7775 |
Definition: A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gat |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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10005388 | ID | REGENCE BLUE SHIELD ID | |
805449000 | ID | -- | |
32946 | ID | BLUE CROSS OF ID |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Matt Tannenbaum by the Centers for Medicare & Medicaid Services?
The Matt Tannenbaum has been issued the NPI (National Provider Identifier) 1093783375 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Matt Tannenbaum?
The Matt Tannenbaum is physically situated at 1820 E 17Th St, in the city of Idaho Falls, state of ID, with the postal code 834046521.
What is Matt Tannenbaum's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Matt Tannenbaum's specialized field of practice is Anatomic Pathology & Clinical Pathology, and the corresponding taxonomy code that categorizes this area of specialization is 207Zp0102X.
When did Matt Tannenbaum receive its 1093783375 assignment?
The Matt Tannenbaum was assigned its 1093783375 on 2006-03-10, which is the date when this unique identifier was issued to the organization.
As of what date were the Matt Tannenbaum's details last updated?
The information pertaining to the Matt Tannenbaum, including its address, specialty, and other details, was most recently updated on 2012-12-27.