Marancenbaum, Daniel
Marancenbaum, Daniel is an individual health care provider with primary practice located at 3917 West Rd Ste 250 , Los Alamos NM 87544-5302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Marancenbaum, Daniel can be contacted via phone (505) 661-9201.Contact Information
Primary practice address
3917 West Rd Ste 250
Los Alamos NM 87544-5302
Phone: (505) 661-9201
Fax: (505) 661-9185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | ME152170 | Florida |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 042.0012038 | Vermont |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MT189844 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD2013-0460 | New Mexico |
Profile Details
| NPI number | 1790937068 |
|---|---|
| LBN Legal business name | Marancenbaum, Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2008 |
| Last updated | Oct 6th, 2022 - about 4 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790937068 | NPPES |
| New Mexico | MEDICAID | 80983294 |
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