Individual
CHRISTOPHER R DAMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
150 LAKESIDE BLVD, LANDING, NJ 07850-1119
(973) 398-6300
(973) 398-6399
Mailing address
150 LAKESIDE BLVD, LANDING, NJ 07850-1119
(973) 398-6300
(973) 398-6399
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB56916
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5495504
—
NJ
Enumeration date
02/28/2006
Last updated
02/10/2016
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