Individual
IRA D TANZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 MEADOWLANDS PKWY # B, SUITE 302, SECAUCUS, NJ 07094-2302
(201) 867-1297
(201) 867-4165
Mailing address
PO BOX 250, SADDLE RIVER, NJ 07458-0250
(201) 867-1297
(201) 867-4165
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA030534
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1425901
—
NJ
Enumeration date
01/22/2007
Last updated
05/19/2008
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