Alice Tanner M.d.,pc
Pediatric Adolescent Medicine
Alice Tanner M.d.,pc is a Glen Burnie, Maryland based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
1406 Crain Hwy S, Suite 104, Glen Burnie, Maryland - 21061-4058. They can be contacted on phone at
410-768-2231 and fax number 410-760-4522.
NPI number (Unique professional ID) for Alice Tanner M.d.,pc is
1013184159 which was assigned by NPPES on 08 May, 2008 and it was last updated on 08 May, 2008.
Alice Tanner M.d.,pc specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Alice Tanner M.d.,pc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
|---|
| Provider Name : | Alice Tanner M.d.,pc |
|---|
Business Address:
Alice Tanner M.d.,pc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1406 Crain Hwy S, Suite 104
Glen Burnie, MD, 21061-4058
United States |
|---|
| Phone Number : | 410-768-2231 |
|---|
| Fax Number : | 410-760-4522 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1013184159 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 08 May, 2008 |
|---|
| Last Updated On : | 08 May, 2008 |
|---|
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Alicepatricia Tanner |
|---|
| Authorized Official Credential : | M.D. |
|---|
| Official Title or Position : | PEDIATRICIAN/PRACTICE OWNER |
|---|
| Phone Number : | 410-768-2231 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Alice Tanner M.d.,pc are as mentioned. Primary taxonomy code for Alice Tanner M.d.,pc is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Alice Tanner M.d.,pc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 215896500 | MEDICAID | MD | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1406 Crain Hwy S, Suite 104
Glen Burnie, MD, 21061-4058
United States |
|---|
| Phone Number : | 410-768-2231 |
|---|
| Fax Number : | 410-760-4522 |
|---|
Business Location:
Patients can refer following map for directions to
Alice Tanner M.d.,pc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.