Tannenbaum, Alan Keith

Tannenbaum, Alan Keith is an sole proprietor health care provider with primary practice located at 10 Plum Street University Radiology At Robert Wood Johnson Llc, New Brunswick NJ 08901. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Tannenbaum, Alan Keith can be contacted via phone (732) 249-4410.

Contact Information

Primary practice address
10 Plum Street University Radiology At Robert Wood Johnson Llc New Brunswick NJ 08901
Phone: (732) 249-4410
Fax: (732) 249-1208
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA048977 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA04897700 New Jersey
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MA04897700 New Jersey

Profile Details

NPI number 1588747521
LBN Legal business name Tannenbaum, Alan Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 23rd, 2006
Last updated Apr 8th, 2010 - about 14 years ago

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 1588747521 NPPES
New Jersey Other 060015491 RR MEDICARE PTAN
New Jersey Other 1092802 RR MEDICARE PTAN
New Jersey Other 15634 RR MEDICARE PTAN
New Jersey Other F04685 RR MEDICARE PTAN
New Jersey Other 060015491 RR MEDICARE PTAN
New Jersey Other M10000542 01 RR MEDICARE PTAN
New Jersey Other 29269 RR MEDICARE PTAN
New Jersey MEDICAID 0626708 RR MEDICARE PTAN
New Jersey Other 18141 RR MEDICARE PTAN

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