Organization
E STEVEN DAMON, D.P.M.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. E STEVEN DAMON D.P.M. (OWNER)
(860) 745-6248
Entity
Organization
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
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
000035
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4006102
—
CT
Enumeration date
02/20/2008
Last updated
10/29/2010
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