# DANIEL I TANENBAUM MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518156850
- **Authorized official:** DANIEL I TANENBAUM MD (MD PC OWNER)
- **Authorized official phone:** (508) 471-9507

## Contact information

- **Practice address:** 189 MAY ST, WORCESTER, MA 01602
- **Practice address phone:** (508) 471-9507
- **Practice address fax:** (508) 865-5226
- **Mailing address:** 189 MAY ST, WORCESTER, MA 01602
- **Mailing address phone:** (508) 471-9507
- **Mailing address fax:** (508) 865-5226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 56412 | MA | Yes |

## Other

- **Enumeration date:** 10/23/2007
- **Last updated:** 10/23/2007