DR. Jordan M Tannenbaum, M.D.

NPI #1922000116 in Oneonta, New York

Provider Information

NPI Number: 1922000116
Entity Type: Individual
Name: DR. Jordan M Tannenbaum, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Jun 1, 2005
Last Updated: Jun 29, 2010

Practice Location

Address: 1 FOX CARE DR
Address 2: STE 213
City: Oneonta
State: New York
ZIP Code: 13820-2086
Phone: (607) 432-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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