Individual
LARRYL L DAMON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
51 N ELM ST, WATERBURY, CT 06702-1545
(203) 574-4000
Mailing address
601 PARK ST, HONESDALE, PA 18431-1445
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
77040
CT
208000000X
Pediatrics Physician
OS020705
PA
Other
Enumeration date
04/12/2017
Last updated
08/15/2024
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