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NPI Code Detail

MEDICARE: DR. CAROLINE M. TANNER M.D., PH.D.

MEDICARE: DR. CAROLINE M. TANNER M.D., PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1173000000XLegal MedicineG68771CA

General Provider Information

NPI Number : 1043256035
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROLINE M. TANNER M.D., PH.D.
Provider Business Mailing Address
First Line : 675 ALMANOR AVE
Second Line :
City : SUNNYVALE
State : CA
Zip : 94085-2934
Country : US
Telephone Number : 408-734-2800
Fax Number : 408-734-8455
Provider Business Practice Location Address
First Line : 675 ALMANOR AVE
Second Line :
City : SUNNYVALE
State : CA
Zip : 94085-2934
Country : US
Telephone Number : 408-734-2800
Fax Number : 408-734-8455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2006
Last Update Date : 01/29/2013

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