Tannenbaum, Eric S

Tannenbaum, Eric S is an individual health care provider with primary practice located at 15225 Shady Grove Rd Suite 201, Rockville MD 20850-3254. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Tannenbaum, Eric S can be contacted via phone (301) 670-3000.

Contact Information

Primary practice address
15225 Shady Grove Rd Suite 201 Rockville MD 20850-3254
Phone: (301) 670-3000
Fax: (301) 924-0186
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X D0027886 Maryland

Profile Details

NPI number 1982649315
LBN Legal business name Tannenbaum, Eric S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2006
Last updated Apr 23rd, 2013 - about 11 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 1982649315 NPPES
Maryland MEDICAID 383001200
Maryland Other 016713C83

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