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Individual

JOSEPH JOHN DAMBRAUSKAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
722 SARAH STREET, LEFT FRONT, CARNEGIE, PA 15106-0112
(708) 262-0004
Mailing address
1005 S 6TH ST, APT 15, CHAMPAIGN, IL 61820-6227
(217) 344-2646
(217) 344-2646

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
2002-0403
NM
2084P0804X
Child & Adolescent Psychiatry Physician
206737
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD027571E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1830797
PA
Enumeration date
03/16/2006
Last updated
01/22/2019
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