Individual
DR. MELISSA FAITH TANNENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
115 LINCOLN ST, FRAMINGHAM, MA 01702-6358
(508) 383-1555
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1016754
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2019
Last updated
04/23/2024
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