Individual
MARIE H TANZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
887 CONGRESS ST, SUITE 320, PORTLAND, ME 04102
(207) 662-5522
(207) 662-5527
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD19259
ME
2080P0210X
Pediatric Nephrology Physician
Primary
MD19259
ME
Other
Enumeration date
11/27/2007
Last updated
10/30/2012
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