DR. ALICE SUSAN TANNENBAUM MD NPI 1538316773

NPI Information

NPI: 1538316773
Provider Name: DR. ALICE SUSAN TANNENBAUM, MD
Classification: Pathology - 207ZP0101X
Entity Type: Individual

Specialization: Anatomic Pathology

Address:
1 MALCOLM AVE
TETERBORO, NJ
ZIP 07608
Phone: (201) 393-5589
Get Directions

DR. Alice Susan Tannenbaum, MD is an anatomic pathology pathology in Teterboro, NJ. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. DR. Alice Susan Tannenbaum, MD NPI is 1538316773. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 MALCOLM AVE
TETERBORO, NJ
ZIP 07608-011
Phone: (201) 393-5589

The enumeration date for this NPI number is 8/19/2008 and was last updated on 5/24/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207ZP0101X	Pathology	Anatomic Pathology	108607	NEW YORK	No
2	207ZP0101X	Pathology	Anatomic Pathology	25MA03879100	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03181495	MEDICAID	NEW YORK
2	G400013265	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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