Doctor Name: | DR. ALAN KEITH TANNENBAUM |
NPI Number: | 1588747521 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MA048977 |
Business Practice Address: | 10 Plum Street University Radiology At Robert Wood Johnson Llc New Brunswick, NJ - 08901 |
Business Phone Number: | 7322494410 |
Business Fax Number: | 7322491208 |
Mailing Address: | 18 Centre Drive, Suite 205 MONROE TOWNSHIP |
State: | NJ |
Postal Code: | 088313260 |
Phone Number: | 6093957600 |
Fax Number: | 6093957559 |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 04/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA048977 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |