Individual provider · Type 1 NPI
Tancredi F. Damore, MD
Plastic and Reconstructive Surgery Physician · Corte Madera, CA
NPI number
1619958907
Active
Practice location
21 Tamal Vista Blvd, Suite 103
Corte Madera, CA 94925-1130
Fax (415) 927-7663
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery of the Hand (Surgery) Physician | 2086S0105X | A51587 (CA) |
| Plastic and Reconstructive Surgery Physician Primary | 2086S0122X | A51587 (CA) |
Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.
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About NPI 1619958907
Tancredi F. Damore, MD's National Provider Identifier is 1619958907, issued on Nov 14, 2005. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Corte Madera, CA. The record was last updated on May 23, 2012.