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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JONATHAN ETHAN TANNEBAUM, MD

Active

DR. JONATHAN ETHAN TANNEBAUM, MD is a General Surgery healthcare provider located in OAKLAND, Maryland. NPI 1285922724 is currently active in the NPPES registry. Verify at CMS.

General Surgery · OAKLAND, MD

Registration Details

NPI Number
1285922724
Provider Type
Individual
Gender
Male
NPI Issued
Jul 19, 2011 (15.03191861929 yrs)
Last Updated
Aug 16, 2021
License
275818 (NY)

Practice Information

Address
251 N 4TH ST
OAKLAND, MD, 215501375
Browse MD providers · Browse ZIP 21550
Phone
3015334000
Fax
3018958751
Primary Specialty
General Surgery
208600000X

Other General Surgery Providers in OAKLAND, MD

Name Credential NPI
DR. CHARLES A WALCH M.D., F.A.C.S. 1396845384
MARJORIE SUE FRIDKIN M.D. 1427129840
DR. CHARLES WILLIAM FEDDE M.D. 1649507146
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.