Individual
MARIE DAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
35 TOWER LN, SUITE 103, AVON, CT 06001-4237
(860) 921-3345
(860) 201-1041
Mailing address
35 TOWER LN, SUITE 103, AVON, CT 06001-4237
(860) 921-3345
(860) 201-1041
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036441
CT
207R00000X
Internal Medicine Physician
113731
FL
207R00000X
Internal Medicine Physician
45523
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001364413
—
CT
Enumeration date
01/22/2007
Last updated
05/19/2015
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