Individual
DR. BARRY TANNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1777 KUSER RD, HAMILTON SQUARE, NJ 08690-3703
(609) 581-5755
(609) 581-7055
Mailing address
1777 KUSER RD, HAMILTON SQUARE, NJ 08690-3703
(609) 581-5755
(609) 581-7055
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00431000
NJ
152WV0400X
Vision Therapy Optometrist
4203
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
521680
MEDICARE GROUP
NJ
Enumeration date
02/09/2007
Last updated
09/20/2007
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