Provider Demographics
NPI:1356543441
Name:TENNENBAUM, JOSHUA B (DO)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:B
Last Name:TENNENBAUM
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:3495 HACKS CROSS RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-8803
Mailing Address - Country:US
Mailing Address - Phone:888-244-7284
Mailing Address - Fax:901-526-0791
Practice Address - Street 1:3495 HACKS CROSS RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125-8803
Practice Address - Country:US
Practice Address - Phone:888-244-7284
Practice Address - Fax:901-526-0791
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-01
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ005451207ZP0102X
CA2OA8899207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology