Individual
BARTON TANENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G19250
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G129500
—
CA
05
—
00G192501
—
CA
01
—
0385570001
MEDICARE DME
CA
01
—
0385570002
MEDICARE DME
CA
01
—
340018176
RR MEDICARE
CA
01
—
341916018
RR MEDICARE
CA
05
—
LAB94467F
—
CA
Enumeration date
05/03/2006
Last updated
06/12/2019
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