Individual
DR. STEVEN M TANABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
750 WASHINGTON ST, TUFTS-NEMC #314, BOSTON, MA 02111-1526
(617) 636-5848
(617) 636-8199
Mailing address
102 LINCOLN RD, LINCOLN, MA 01773-3800
(781) 259-1530
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
160457
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0663325
MASS HEALTH
MA
01
—
111161
HARVARD PILGRIM
MA
01
—
408267
TUFTS
MA
01
—
J24299
BCBS MEDICARE
MA
Enumeration date
07/13/2006
Last updated
07/08/2007
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