Provider Demographics
NPI:1295866382
Name:TANCREDI, DAVID NICHOLAS (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:NICHOLAS
Last Name:TANCREDI
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1, RUE LAURENT PICHAT
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:ILE-DE-FRANCE
Mailing Address - Zip Code:75116
Mailing Address - Country:FR
Mailing Address - Phone:3314-500-5965
Mailing Address - Fax:3314-500-0788
Practice Address - Street 1:1, RUE LAURENT PICHAT
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:ILE-DE-FRANCE
Practice Address - Zip Code:75116
Practice Address - Country:FR
Practice Address - Phone:3314-500-5965
Practice Address - Fax:3314-500-0788
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA156729207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine