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

Tanner Donovan Corse, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619617909

Tanner Donovan Corse, MD is a Student in an Organized Health Care Education/Training Program in Ridgewood, New Jersey. Licensed in New Jersey. Registered with an NPI since 2022.

Licensed in
NJ
In the registry since
2022
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Ridgewood, NJ
Fax: (551) 815-1050

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Internal Medicine Physician Taxonomy 207R00000X · Licence 25MA13097900 (NJ)
Pediatrics Physician Taxonomy 208000000X · Licence 25MA13097900 (NJ)

Record details

NPI number1619617909
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 1, 2022
Last updated in NPPESJune 15, 2026
Certification dateJune 15, 2026

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