Individual
DR. DAMON R SOEIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER BLVD, CROZER-CHESTER MEDICAL CENTER; DEPT. RADIOLOGY, UPLAND, PA 19013-3902
(610) 447-2595
Mailing address
1 MEDICAL CENTER BLVD, CROZER-CHESTER MEDICAL CENTER; DEPT. OF RADIOLOGY, UPLAND, PA 19013-3902
(610) 447-2595
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
223821
MA
2085R0202X
Diagnostic Radiology Physician
Primary
MD428474
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2103478
—
MA
Enumeration date
01/16/2006
Last updated
04/13/2012
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