Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | MD026883E | PA |
NPI | 1275875940 |
---|---|
Provider Name | Dr. Gerald F. Tremblay |
First Address | Lansdale, PA 19446-6026 |
Second Address | Lansdale, PA 19446-6026 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2013 |
Last Update Date | 20/03/2013 |