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1336128842
IRA ROY TANNEBAUM
WASHINGTON, DC
NPI
1336128842
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: DC md10031)
Enumeration Date
2006-01-12
Last Update Date
2007-07-08
Business Address
-- IRA ROY TANNEBAUM m.d.
1145 19TH ST NW 313
WASHINGTON, DC 20036-3701
Phone number: 202-466-5837
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Mailing Address
-- IRA ROY TANNEBAUM m.d.
8624 WILD OLIVE DR
POTOMAC, MD 20854-3438
Phone number: 301-251-0099
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