Organization
DANIEL I TANENBAUM MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL I TANENBAUM MD (MD PC OWNER)
(508) 471-9507
Entity
Organization
Contact information
Practice address
189 MAY ST, WORCESTER, MA 01602
(508) 471-9507
(508) 865-5226
Mailing address
189 MAY ST, WORCESTER, MA 01602
(508) 471-9507
(508) 865-5226
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
56412
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3047067
—
MA
Enumeration date
10/23/2007
Last updated
10/23/2007
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