Individual
DR. BRUCE LEE M. TANENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7945 MACARTHUR BLVD, SUITE 221, CABIN JOHN, MD 20818-1634
(301) 320-3701
(301) 320-3742
Mailing address
7945 MACARTHUR BLVD, SUITE 221, CABIN JOHN, MD 20818-1634
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0019680
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D0019680
BOARD OF PHYSICIANS
MD
01
—
M53652
CONTROLLED SUBSTANCE
MD
Enumeration date
11/30/2006
Last updated
03/07/2023
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