Individual
DR. EUGENE MICHAEL DAMICO III
Active
Individual
DR. EUGENE MICHAEL DAMICO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
G1-0000952
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000189002
—
DE
01
—
000540991
HIGHMARK BLUE SHIELD
—
01
—
0116093000
AMERIHEALTH
—
01
—
4300241
AETNA
—
Enumeration date
05/24/2006
Last updated
07/01/2008
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