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Individual

STANLEY TENENBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7593 BOYNTON BEACH BLVD, BOYNTON BEACH, FL 33437
(561) 572-3200
(561) 572-0445
Mailing address
7593 BOYNTON BEACH BLVD, BOYNTON BEACH, FL 33437
(561) 572-3200
(561) 572-0445

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME43535
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
068190399
FL
01
94249
BCBS
FL
Enumeration date
06/01/2005
Last updated
02/22/2008
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