Individual
DR. DAMON JOHN PETTINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6231 N CHARLES ST, BALTIMORE, MD 21212-1113
(410) 377-2044
(410) 377-8061
Mailing address
8618 EASTERN MORNING RUN, LAUREL, MD 20723-5865
(301) 317-4956
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D0058950
MD
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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