Dr. Alice S Tannenbaum, MD
Pathology, Anatomic Pathology in Teterboro, New Jersey
1538316773- Practice location
- 1 Malcolm Ave, Teterboro, NJ 07608-1011
- Phone
- 201-393-5589
- Fax
- —
- Last updated
- May 24, 2010
Alice Susan Tannenbaum is a Pathology, Anatomic Pathology based in Teterboro, NJ. Alice Susan Tannenbaum practices in Teterboro, NJ and has the professional credentials of MD. The NPI Number for Alice Susan Tannenbaum is 1538316773 and holds a License No. 108607 (NY). The current practice location address for Alice Susan Tannenbaum is 1 Malcolm Ave, Teterboro, NJ 07608-1011 and can be reached out via phone at 201-393-5589.
Provider Profile Details
- NPI Number
- 1538316773
- Provider Name
- Alice Susan Tannenbaum
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1 Malcolm Ave, Teterboro, NJ 07608-1011
- Phone Number
- 201-393-5589
- Primary Taxonomy
- Pathology, Anatomic Pathology · 207ZP0101X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 19, 2008
- Last Update Date
- May 24, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Malcolm Ave
Teterboro, NJ 07608-1011 - City
- Teterboro
- State
- New Jersey
- Zip
- 07608-1011
- Phone Number
- 201-393-5589
Provider Business Mailing Address Details
- Address
- 338 W 72ND St
Apt 1
New York, NY 10023-2643 - City
- New York
- State
- NY
- Zip
- 10023-2643
- Phone Number
- 212-874-2772
License Information
- License Number (1)
- 108607
- License State (1)
- NY
- Taxonomy (1)
- Pathology, Anatomic Pathology · 207ZP0101X
- License Number (2)
- 25MA03879100
- License State (2)
- NJ
- Taxonomy (2)
- Pathology, Anatomic Pathology · 207ZP0101X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pathology, Anatomic Pathology providers near Teterboro, NJ
View all Pathology, Anatomic Pathology providers in Teterboro →- Dr. Afsar Mahmood, MD, PHDPathology, Anatomic Pathology · NPI 1578719944
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Frequently Asked Questions
What is the NPI number of Dr. Alice S Tannenbaum, MD?
The NPI number of Dr. Alice S Tannenbaum, MD is 1538316773. It was assigned on August 19, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Alice S Tannenbaum, MD?
Dr. Alice S Tannenbaum, MD is registered under the primary taxonomy Pathology, Anatomic Pathology (code 207ZP0101X), licensed in NY under license number 108607.
Where does Dr. Alice S Tannenbaum, MD practice?
The practice location is 1 Malcolm Ave, Teterboro, NJ 07608-1011. The office can be reached at 201-393-5589 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538316773 directly on the NPPES registry website.