person
Jacob Tannenbaum, MD
Student in an Organized Health Care Education/Training Program in Charlottesville, Virginia
NPI 1891555348

Jacob Tannenbaum is a Student in an Organized Health Care Education/Training Program based in Charlottesville, VA. Jacob Tannenbaum practices in Charlottesville, VA and has the professional credentials of MD. The NPI Number for Jacob Tannenbaum is 1891555348 and holds a License No. (Virginia).

The current practice location address for Jacob Tannenbaum is 1215 Lee St # 800422, Charlottesville, VA and can be reached out via phone at 434-924-2224 and via fax at 434-244-9481.

Location: 1215 Lee St # 800422, Charlottesville, VA, 22908-0816
person
Provider Profile Details
NPI Number
1891555348
Provider Name
Jacob Tannenbaum
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1215 Lee St # 800422, Charlottesville, VA, 22908-0816
Phone Number
434-924-2224
Fax Number
434-244-9481
Provider Enumeration Date
03/21/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1215 Lee St # 800422
City
State
Zip
22908-0816
Phone Number
434-924-2224
Fax Number
434-244-9481
person
Provider Business Mailing Address Details
Address
1215 Lee St # 800422
City
State
Zip
22908-0816
Phone Number
434-924-2224
Fax Number
434-244-9481
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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