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1114929247
MARK P. TANENBAUM
FAIRFAX, VA
NPI
1114929247
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine Cardiovascular Disease
(Licence: VA 0101043105)
Enumeration Date
2005-06-01
Last Update Date
2022-08-25
Business Address
MARK P. TANENBAUM M.D.
3580 JOSEPH SIEWICK DR STE 305
FAIRFAX, VA 22033-1764
Phone number: 703-648-3266
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Mailing Address
MARK P. TANENBAUM M.D.
2901 TELESTAR CT. #300
FALLS CHURCH, VA 22042-1263
Phone number: 703-591-1688
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