Individual provider · Type 1 NPI

Rebecca Tananbaum, MD

Student in an Organized Health Care Education/Training Program · Worcester, MA

NPI number 1770422206 Active

Practice location

55 Lake Ave N
Worcester, MA 01655-0002

Call (508) 334-1000 Map

Mailing address

20 Rena St Apt 2
Worcester, MA 01604-6008

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1770422206

Rebecca Tananbaum, MD's National Provider Identifier is 1770422206, issued on Mar 27, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Worcester, MA. The record was last updated on Mar 27, 2026.