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Individual

MR. DAMIAN DAVID DAFFARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COO

Contact information

Practice address
355 BLOOMFIELD AVE, CALDWELL, NJ 07006-5118
(973) 228-0072
(973) 228-2311
Mailing address
69 NICHOLAS AVE, WEST ORANGE, NJ 07052-2932
(917) 783-4554
(973) 325-1720

Taxonomy

Speciality
Code
Description
License number
State
246YR1600X
Registered Record Administrator
Primary

Other

Enumeration date
11/23/2019
Last updated
11/23/2019
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