Provider Demographics
NPI:1033328133
Name:TREMARCO, ELAINE SAMANTHA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:SAMANTHA
Last Name:TREMARCO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 VREELAND AVE
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-1618
Mailing Address - Country:US
Mailing Address - Phone:973-667-1332
Mailing Address - Fax:973-667-4000
Practice Address - Street 1:145 VREELAND AVE
Practice Address - Street 2:
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-1618
Practice Address - Country:US
Practice Address - Phone:973-667-1332
Practice Address - Fax:973-667-4000
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI154771223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice