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NPI Code Detail

MEDICARE: FLOYD R. TANZER, M.D.,P.A.

MEDICARE: FLOYD R. TANZER, M.D.,P.A.
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
1207NS0135XProcedural Dermatology Physician25MA02898500NJ
2207N00000XDermatology Physician25MA02898500NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11144223686OTHERNJPHYSICIAN NPI DR SILBER
21336274935OTHERNJCORPORATION NPI
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
41780687228OTHERNJPHYSICIAN NPI DR TANZER

General Provider Information

NPI Number : 1336274935
Entity Type Code : Organization
Provider Name (Legal Business Name) : FLOYD R. TANZER, M.D.,P.A.
Provider Business Mailing Address
First Line : 992 CLIFTON AVE
Second Line :
City : CLIFTON
State : NJ
Zip : 07013-3502
Country : US
Telephone Number : 973-365-1800
Fax Number : 973-777-0380
Provider Business Practice Location Address
First Line : 992 CLIFTON AVE
Second Line :
City : CLIFTON
State : NJ
Zip : 07013-3502
Country : US
Telephone Number : 973-365-1800
Fax Number : 973-777-0380
Authorized Official
Title or Position : PRESIDENT
Name : DR. FLOYD RICHARD TANZER
Credential : MD
Telephone Number : 973-365-1800
Provider Enumeration Date : 02/22/2007
Last Update Date : 11/14/2008

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