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Individual

DR. DANIEL MARANCENBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3917 WEST RD STE 250, LOS ALAMOS, NM 87544-5302
(505) 661-9201
(505) 661-9185
Mailing address
2055 WALSBROOK, SAN ANTONIO, TX 78260-2436
(505) 695-0541

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
042.0012038
VT
207V00000X
Obstetrics & Gynecology Physician
Primary
MD2013-0460
NM
207V00000X
Obstetrics & Gynecology Physician
ME152170
FL
207V00000X
Obstetrics & Gynecology Physician
MT189844
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
80983294
NM
Enumeration date
10/18/2008
Last updated
10/06/2022
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