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Search › Pennsylvania › 103T00000X

Robert Tanenbaum

NPI 1568681278 · on the registry since 2007 · sole proprietor

Practice

Address
1 Presidential Blvd
Suite 204
Bala Cynwyd, PA 19004
Phone
(610) 664-3442
Organisation at this address
Bala Asc
John Rickards
Sandra M. Mack
Your Wellness Consultants Llc
Kingsbury Oral And Maxillofacial Surgery, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
103T00000X
103T00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania