Individual
DR. JOHN F D'AMICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
187 N MAIN ST, WALLINGFORD, CT 06492-3721
(203) 265-4814
(203) 949-4741
Mailing address
187 N MAIN ST, WALLINGFORD, CT 06492-3721
(203) 265-4814
(203) 949-4741
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000034
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00400666400
BLUECARE FAMILY
CT
01
—
030000034CT01
BC/BS PIN
CT
01
—
0517511
AETNA PIN
CT
01
—
203691700
DOL WC FED EMPLOYEES
CT
01
—
2704069
UHC PIN
CT
01
—
5747116004
CIGNA PIN
CT
01
—
713035
CONNECTICARE PIN
CT
01
—
OV1484
HEALTHNET PIN
CT
01
—
ZS225
OXFORD PIN
CT
Enumeration date
06/05/2006
Last updated
01/04/2010
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