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Individual

MR. MARC SALVATORE D'AMATO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
1450 CHAPEL ST, DEPT OF SURGERY, NEW HAVEN, CT 06511-4405
(203) 789-3601
Mailing address
27 ROSEMARY CT, MIDDLEFIELD, CT 06455-1224
(860) 349-4016

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
000518
CT

Other

Enumeration date
06/27/2006
Last updated
07/08/2007
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