Organization
JARED TANNENBAUM MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED TANNENBAUM MD (OWNER)
(954) 648-1788
Entity
Organization
Contact information
Practice address
50 RESERVE RD, DANBURY, CT 06810-5182
(954) 648-1788
Mailing address
PO BOX 1001, SOUTHPORT, CT 06890-2001
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/21/2025
Last updated
09/26/2025
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