Individual
JEAN BETTEL DAMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
77 EDBERT ST APT C, CHICOPEE, MA 01020-2837
(413) 297-6682
Mailing address
77 EDBERT ST APT C, CHICOPEE, MA 01020-2837
(413) 297-6682
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
082-PA
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1980
—
MA
Enumeration date
04/06/2020
Last updated
04/06/2020
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