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

DR. ALICE SUSAN TANNENBAUM, MD

Active Sole Proprietor

Anatomic Pathology · TETERBORO, NJ

Registration Details

NPI Number
1538316773
Provider Type
Individual
Gender
Female
NPI Issued
Aug 19, 2008 (17.714053040533 yrs)
Last Updated
May 24, 2010
Licenses
108607 (NY)
25MA03879100 (NJ)
Sole Proprietor
Yes

Practice Information

Address
1 MALCOLM AVE
TETERBORO, NJ, 076081011
Browse NJ providers · Browse ZIP 07608
Phone
2013935589
Primary Specialty
Anatomic Pathology
207ZP0101X
Additional Specialty
Anatomic Pathology

Other Anatomic Pathology Providers in TETERBORO, NJ

Name Credential NPI
LEZA N GALLO M.D. 1083709208
DR. AFSAR MAHMOOD M.D., P.H.D 1578719944
DR. MARISE MC NEELEY M.D. 1134370398
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.