Tannenbaum, Susan H

Tannenbaum, Susan H is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06030-0001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Tannenbaum, Susan H can be contacted via phone (860) 679-2100.

Contact Information

Primary practice address
263 Farmington Ave Farmington CT 06030-0001
Fax: (860) 679-4815
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 041311 Connecticut

Profile Details

NPI number 1447257704
LBN Legal business name Tannenbaum, Susan H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Sep 26th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1447257704 NPPES
Connecticut MEDICAID 1413111

Popular Providers