Tanzer, Jerome

Tanzer, Jerome is an individual health care provider with primary practice located at 130 Marshall Road , Lowell MA 01852. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Tanzer, Jerome can be contacted via phone (978) 671-9000.

Contact Information

Primary practice address
130 Marshall Road Lowell MA 01852
Phone: (978) 671-9000
Fax: (978) 671-9149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 29366 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 29366 Massachusetts

Profile Details

NPI number 1376543611
LBN Legal business name Tanzer, Jerome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Aug 5th, 2012 - about 12 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 1376543611 NPPES
Massachusetts MEDICAID 0198714

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