Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Alice Susan Tannenbaum, MD

Individual provider Anatomic Pathology Physician · NPI 1538316773

Dr. Alice Susan Tannenbaum, MD is an Anatomic Pathology Physician in Teterboro, New Jersey. Practices as a sole proprietor. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1 Malcolm Ave
Teterboro, NJ 07608-1011
Phone: (201) 393-5589
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology Physician (primary) Taxonomy 207ZP0101X · Licence 25MA03879100 (NJ)
Anatomic Pathology Physician Taxonomy 207ZP0101X · Licence 108607 (NY)

Record details

NPI number1538316773
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 19, 2008
Last updated in NPPESMay 24, 2010

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