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:
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Health care specialties

SpecialtyCodeLicense #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 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619958907 NPPES
California MEDICAID 00A515871
California Other 00A515871

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