Tancredi F Damore in Corte Madera - Plastic And Reconstructive Surgery

Tancredi F Damore - NPI 1619958907

Tancredi F Damore is a Plastic And Reconstructive Surgery in Corte Madera, California. Tancredi F Damore practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Tancredi F Damore is 1619958907. The last update date is 2012-05-23.

Tancredi F Damore's current location address is 21 Tamal Vista Blvd, Corte Madera, California. You can contact this provider via phone number 4159277660 and fax number 4159277663. The mailing address for Tancredi F Damore is 21 Tamal Vista Blvd, Corte Madera, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Tancredi F Damore
Address 21 Tamal Vista Blvd, Corte Madera, California
Phone Number 4159277660
Fax Number 4159277663
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1619958907
Provider Enumeration Date 2005-11-14
Last Updated Date 2012-05-23

Provider Mailing Address Detail

Address 21 Tamal Vista Blvd
City Corte Madera
State California (CA)
Post Code 949251130
Phone Number 4159277660
Fax Number 4159277663

Provider's Primary Taxonomy Detail

Speciality Plastic And Reconstructive Surgery
Taxonomy 2086S0122X
Licence No A51587
Definition:
A surgeon who specializes in plastic and reconstructive surgery.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A515871 CA --
00A515871 PPIN

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FAQs about Tancredi F Damore

What is the unique identifier code issued to Tancredi F Damore by the Centers for Medicare & Medicaid Services?

The Tancredi F Damore has been assigned the NPI (National Provider Identifier) 1619958907. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Tancredi F Damore is physically located?

The Tancredi F Damore is situated at the following address: 21 Tamal Vista Blvd, Corte Madera, CA 949251130.

What is Tancredi F Damore's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Tancredi F Damore's specialized field of practice is Plastic And Reconstructive Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 2086S0122X.

On what date was the 1619958907 assigned to Tancredi F Damore?

The Tancredi F Damore was issued its 1619958907 on 2005-11-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Tancredi F Damore's details last updated?

The information pertaining to the Tancredi F Damore, including its address, specialty, and other details, was most recently updated on 2012-05-23.

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