Corse, Tanner Donovan

Corse, Tanner Donovan is an individual health care provider with primary practice located at 223 N Van Dien Ave Fl 1 , Ridgewood NJ 07450-2726. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Corse, Tanner Donovan can be contacted via phone (201) 689-3900.

Contact Information

Primary practice address
223 N Van Dien Ave Fl 1 Ridgewood NJ 07450-2726
Phone: (201) 689-3900
Fax: (551) 815-1050
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA13097900 New Jersey
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA13097900 New Jersey

Profile Details

NPI number 1619617909
LBN Legal business name Corse, Tanner Donovan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2022
Last updated Jun 15th, 2026 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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