Individual
DR. MARK HOWARD TANNENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
87 GRANDVIEW AVE, WATERBURY, CT 06708-2514
(203) 574-2020
(203) 596-2230
Mailing address
87 GRANDVIEW AVE, WATERBURY, CT 06708-2514
(203) 574-2020
(203) 596-2230
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
181665
NY
207W00000X
Ophthalmology Physician
64133
CT
Other
Enumeration date
01/10/2006
Last updated
02/07/2024
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