Damore, Tancredi F
Damore, Tancredi F is an individual health care provider with primary practice located at 21 Tamal Vista Blvd Suite 103, Corte Madera CA 94925-1130. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Damore, Tancredi F can be contacted via phone (415) 927-7660.Contact Information
Primary practice address
21 Tamal Vista Blvd Suite 103
Corte Madera CA 94925-1130
Phone: (415) 927-7660
Fax: (415) 927-7663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery of the Hand | 2086S0105X | A51587 | California |
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | A51587 | California |
Profile Details
| NPI number | 1619958907 |
|---|---|
| LBN Legal business name | Damore, Tancredi F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2005 |
| Last updated | May 23rd, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619958907 | NPPES |
| California | MEDICAID | 00A515871 | |
| California | Other | 00A515871 |
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