Individual
MR. FRANK CHARLES DAMICO
Active
Individual
MR. FRANK CHARLES DAMICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD042343L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01018901
CAPITAL BLUE CROSS
PA
01
—
4603161
AETNA
—
Enumeration date
08/01/2005
Last updated
07/23/2021
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