Individual
DR. LEE ERIC TANNENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2012 S TOLLGATE RD, STE 106, BEL AIR, MD 21015-5900
(410) 569-9429
(410) 569-9423
Mailing address
2012 S TOLLGATE RD, STE 106, BEL AIR, MD 21015-5900
(410) 569-9429
(410) 569-9423
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
D39763
MD
207QA0505X
Adult Medicine Physician
D39763
MD
Other
Enumeration date
02/07/2006
Last updated
05/22/2008
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