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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790937068 NPPES
New Mexico MEDICAID 80983294

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