Individual
DR. MARK ANTHONY DAMANTE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
(614) 770-6644
Mailing address
410 W 10TH AVE, COLUMBUS, OH 43210-1240
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
57.250992
OH
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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