Individual
DR. EDWIN STEVEN DAMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
64 PALOMBA DR, ENFIELD, CT 06082-3844
(860) 745-6248
(860) 741-2482
Mailing address
64 PALOMBA DR, ENFIELD, CT 06082-3844
(860) 745-6248
(860) 741-2482
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000035
CT
213E00000X
Podiatrist
1422
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0313211
—
MA
01
—
1019700001
NSC
CT
05
—
4006102
—
CT
Enumeration date
08/16/2006
Last updated
11/27/2007
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