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Individual

DAMON J WHITE SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.-C.

Contact information

Practice address
449 HURFFVILLE-CROSSKEYS ROAD, SUITE 1, SEWELL, NJ 08080-9369
(856) 582-7979
(856) 582-4259
Mailing address
449 HURFFVILLE CROSSKEYS RD, STE 1, SEWELL, NJ 08080-9369
(856) 582-7979
(856) 582-4259

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00096100
NJ
363AS0400X
Surgical Physician Assistant
25MP00096100
NJ

Other

Enumeration date
07/26/2006
Last updated
03/29/2016
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