National Provider Identifier

Edward C Tanner, MD

Edward C Tanner, MD is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician in Rochester, NY and a listed phone number of (585) 266-2583.

NPI 1295744324Rochester, NYOrthopaedic Surgery Physician

Profile Overview

NPI
1295744324
Provider Type
Individual
Primary Specialty
Orthopaedic Surgery Physician
Enumeration Date
August 07, 2006
Last Updated
June 04, 2009

Practice Location

  • 1445 Portland Ave
  • Suite 210
  • Rochester, NY 14621

Phone: (585) 266-2583

Specialties

  • Orthopaedic Surgery Physician (207X00000X)
Full Record
NPI
1295744324
Entity Type
Individual
Last Name
Tanner
First Name
Edward
Middle Name
C
Credential
MD
Mailing Street Address
1445 Portland Ave
Mailing Address Line 2
Suite 210
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621
Mailing Country
US
Mailing Phone
(585) 266-2583
Mailing Fax
(585) 266-5363
Practice Street Address
1445 Portland Ave
Practice Address Line 2
Suite 210
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621
Practice Country
US
Practice Phone
(585) 266-2583
Practice Fax
(585) 266-5363
Enumeration Date
August 07, 2006
Last Updated
June 04, 2009
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Orthopaedic Surgery Physician (207X00000X)
Other Identifiers
P010140275 (Blue Choice), 00593559 (NY), 102336C4 (Preferred Care)