Individual
DR. DAVID TREMBLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MMD 33822
SC
208600000X
Surgery Physician
MMD.33822 LL
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338227
—
SC
05
—
GP2149
—
SC
05
—
GP2156
—
SC
05
—
GP2172
—
SC
05
—
GP5351
—
SC
05
—
GP5503
—
SC
Enumeration date
06/16/2011
Last updated
08/03/2016
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