Individual provider · Type 1 NPI

Dave Nicole Lorenzo Tanuecoz, MD

Student in an Organized Health Care Education/Training Program · Long Branch, NJ

NPI number 1821916701 Active

Practice location

300 2nd Ave
Long Branch, NJ 07740-6303

Call (732) 222-5200 Map

Fax (732) 923-6536

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 1821916701

Dave Nicole Lorenzo Tanuecoz, MD's National Provider Identifier is 1821916701, issued on Jul 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Long Branch, NJ. The record was last updated on Jul 8, 2026.