Individual
DR. RAYMOND L D'AMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
136 BERLIN RD, SUITE 102, CROMWELL, CT 06416-2627
(860) 635-2810
(860) 632-2352
Mailing address
300 KENSINGTON AVE, NEW BRITAIN, CT 06051-3916
(860) 224-6200
(860) 224-6260
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
017716
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010017716CT02
BCBS COMMERCIAL N BCFP ID
CT
01
—
01217716
CIGNA ID
CT
01
—
050843
CONNECTICARE ID
CT
01
—
060078
HEALTH NET ID
CT
01
—
060916784009
TRICARE HNFS ID
CT
01
—
1255448155
GHMC GRP NPI ID
CT
01
—
501435
AETNA PROVIDER ID
CT
01
—
912611
HEALTH NET REFERRAL ID
CT
01
—
P369835
OXFORD PROVIDER ID
CT
Enumeration date
06/01/2005
Last updated
07/09/2007
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