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
Fax: (301) 320-3742
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164590147 NPPES
Maryland Other M53652 CONTROLLED SUBSTANCE
Maryland Other D0019680 CONTROLLED SUBSTANCE

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