Individual
MS. LORENE SALES DAMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
24 HOSPITAL AVE, DANBURY, CT 06810-6099
(203) 739-7010
(203) 739-1715
Mailing address
111 OSBORNE ST, SUITE 121, DANBURY, CT 06810-6000
(203) 739-7010
(203) 739-1715
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
000340
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200340
CONNECTICARE
CT
01
—
6018661
MVP
CT
Enumeration date
10/12/2006
Last updated
04/17/2009
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