DR. JEROME TANZER MD NPI 1376543611

NPI Information

NPI: 1376543611
Provider Name: DR. JEROME TANZER, MD
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Address:
130 MARSHALL ROAD
LOWELL, MA
ZIP 01852
Phone: (978) 671-9000
Get Directions

DR. Jerome Tanzer, MD is a geriatric medicine internal medicine in Lowell, MA. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. DR. Jerome Tanzer, MD NPI is 1376543611. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

130 MARSHALL ROAD
LOWELL, MA
ZIP 01852
Phone: (978) 671-9000
Fax: (978) 671-9149

The enumeration date for this NPI number is 7/28/2005 and was last updated on 8/5/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		29366	MASSACHUSETTS	No
2	207RG0300X	Internal Medicine	Geriatric Medicine	29366	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	B48118	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
2	B73243	MEDICARE UPIN	MASSACHUSETTS
3	0198714	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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