Individual
DR. JAMES CHARLES DAMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 MEDFORD LEAS, MEDFORD, NJ 08055-2254
(609) 654-3427
(609) 654-5519
Mailing address
1 MEDFORD LEAS, MEDFORD, NJ 08055-2254
(609) 654-3427
(609) 654-5519
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MB64490
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
527292
MEDICARE ID
NJ
05
—
7597703
—
NJ
Enumeration date
08/12/2005
Last updated
05/12/2021
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