Individual
DR. RICHARD A. D'AMICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
180 N DEAN ST, SUITE 3N, ENGLEWOOD, NJ 07631-2534
(201) 567-9595
(201) 567-1813
Mailing address
180 N DEAN ST, SUITE 3N, ENGLEWOOD, NJ 07631-2534
(201) 567-9595
(201) 567-1813
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA04177200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3238105
—
NJ
Enumeration date
05/25/2006
Last updated
04/11/2012
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