Individual
JORDAN ELIJAH ROTSTEIN TANNENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-1900
(336) 716-6674
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-6674
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2021-02064
NC
207RC0000X
Cardiovascular Disease Physician
Primary
2021-02064
NC
Other
Enumeration date
04/11/2018
Last updated
07/24/2024
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