Tanenbaum, Bruce Lee M.
Tanenbaum, Bruce Lee M. is an sole proprietor health care provider with primary practice located at 7945 Macarthur Blvd Suite 221, Cabin John MD 20818-1634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Tanenbaum, Bruce Lee M. can be contacted via phone (301) 320-3701.Contact Information
Primary practice address
7945 Macarthur Blvd Suite 221
Cabin John MD 20818-1634
Phone: (301) 320-3701
Fax: (301) 320-3742
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | D0019680 | Maryland |
Profile Details
NPI number | 1164590147 |
---|---|
LBN Legal business name | Tanenbaum, Bruce Lee M. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 30th, 2006 |
Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164590147 | NPPES |
Maryland | Other | M53652 | CONTROLLED SUBSTANCE |
Maryland | Other | D0019680 | CONTROLLED SUBSTANCE |
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