Provider Demographics
NPI:1356397087
Name:TREMEAU, FABIEN P (MD)
Entity type:Individual
Prefix:DR
First Name:FABIEN
Middle Name:P
Last Name:TREMEAU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 MASSA LN
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:07020-1542
Mailing Address - Country:US
Mailing Address - Phone:201-996-5994
Mailing Address - Fax:
Practice Address - Street 1:60 2ND ST
Practice Address - Street 2:DEPT OF PSYCHIATRY
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-2050
Practice Address - Country:US
Practice Address - Phone:201-996-5994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA061891002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJH77792Medicare UPIN
NJ066802Medicare ID - Type Unspecified