Dr. Lee Eric Tannenbaum, M.D.
Family Medicine, Addiction Medicine in Bel Air, MD. Individual provider (NPI-1).
NPI number1528030004
StatusActive
Last updated in NPPESMay 22, 2008
Details
- NPI
- 1528030004
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lee Eric Tannenbaum
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 7, 2006
- Last updated
- May 22, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0401X | Family Medicine, Addiction Medicine | D39763 | MD | Yes |
| 207QA0505X | Family Medicine, Adult Medicine | D39763 | MD |
Practice location
2012 S Tollgate RdSte 106
Bel Air, MD 21015-5900
Phone 410-569-9429 · Fax 410-569-9423
Mailing address
2012 S Tollgate RdSte 106
Bel Air, MD 21015-5900
Phone 410-569-9429 · Fax 410-569-9423
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