Provider Demographics
NPI:1336274935
Name:FLOYD R. TANZER, M.D.,P.A.
Entity Type:Organization
Organization Name:FLOYD R. TANZER, M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FLOYD
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:TANZER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-365-1800
Mailing Address - Street 1:992 CLIFTON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-3502
Mailing Address - Country:US
Mailing Address - Phone:973-365-1800
Mailing Address - Fax:973-777-0380
Practice Address - Street 1:992 CLIFTON AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-3502
Practice Address - Country:US
Practice Address - Phone:973-365-1800
Practice Address - Fax:973-777-0380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02898500207N00000X, 207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty
No207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural DermatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1144223686OtherPHYSICIAN NPI DR SILBER
NJ1336274935OtherCORPORATION NPI
NJ1328107Medicaid
NJ1780687228OtherPHYSICIAN NPI DR TANZER
NJ1336274935OtherCORPORATION NPI