| NPI | 1518156850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL I TANENBAUM Md Pc Owner 508-471-9507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MA 56412) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2007-10-23 |