Provider Demographics
NPI:1508195165
Name:TARTAGLIA, MARIA CARMELA (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA CARMELA
Middle Name:
Last Name:TARTAGLIA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:344 S VAN NESS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-3628
Mailing Address - Country:US
Mailing Address - Phone:415-314-1308
Mailing Address - Fax:415-476-4800
Practice Address - Street 1:350 PARNASSUS
Practice Address - Street 2:STE 905
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-1207
Practice Address - Country:US
Practice Address - Phone:415-502-0551
Practice Address - Fax:415-476-4800
Is Sole Proprietor?:No
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1054852084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology