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Organization
TANZEN PEDIATRICS LLC
Active
Organization
TANZEN PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN BROOKS MD, PHD (MEDICAL DIRECTOR)
(301) 799-3756
Entity
Organization
Contact information
Practice address
640 FREDERICK RD, CATONSVILLE, MD 21228-4625
(301) 799-3756
Mailing address
640 FREDERICK RD, CATONSVILLE, MD 21228-4625
(301) 799-3756
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
173F00000X
Sleep Specialist (PhD)
—
—
207QS1201X
Sleep Medicine (Family Medicine) Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
2080S0012X
Pediatric Sleep Medicine Physician
Primary
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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