Individual
VANESSA TANIA DAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
45 DANBURY RD STE 100, WILTON, CT 06897-4405
(203) 845-2200
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
(623) 241-8682
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3737
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3737
MEDICAL LICENSE
CT
Enumeration date
06/12/2016
Last updated
03/25/2026
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