Provider Demographics
NPI:1679762835
Name:TREMBLAY, CECILE L (MD)
Entity type:Individual
Prefix:
First Name:CECILE
Middle Name:L
Last Name:TREMBLAY
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 1:1240 LUCERNE ROAD
Mailing Address - Street 2:
Mailing Address - City:MOUNT ROYAL
Mailing Address - State:QC
Mailing Address - Zip Code:H3R2H9
Mailing Address - Country:CA
Mailing Address - Phone:617-726-3812
Mailing Address - Fax:
Practice Address - Street 1:MGH GRAY 5, I.D. UNIT
Practice Address - Street 2:55 FRUIT STREET
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114
Practice Address - Country:US
Practice Address - Phone:617-726-3812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-23
Last Update Date:2007-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA160028207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease