Individual
DR. RICHARD ANTHONY DAMIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
(570) 887-2338
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
205993-1
NY
208600000X
Surgery Physician
Primary
MD048536L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015291900002
—
PA
05
—
01568276
—
NY
01
—
020046843
RR MEDICARE PIN
PA
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039818
MEDICARE GROUP
PA
Enumeration date
02/21/2006
Last updated
06/22/2011
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