Individual
DR. TANCREDI F DAMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 TAMAL VISTA BLVD, SUITE 103, CORTE MADERA, CA 94925-1130
(415) 927-7660
(415) 927-7663
Mailing address
21 TAMAL VISTA BLVD, SUITE 103, CORTE MADERA, CA 94925-1130
(415) 927-7660
(415) 927-7663
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
A51587
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
A51587
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A515871
PPIN
—
05
—
00A515871
—
CA
Enumeration date
11/14/2005
Last updated
05/23/2012
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