Individual
DAMARIS ANDREA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
34 MAPLE ST, NORWALK, CT 06850-3815
(240) 548-7895
Mailing address
1735 FOUR MILE DR APT 4, WILLIAMSPORT, PA 17701-1963
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5853
CT
Other
Enumeration date
06/22/2022
Last updated
09/24/2025
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