Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 028778 | CT |
NPI | 1003904871 |
---|---|
Provider Name | Dr. Joseph Michael D'amico |
First Address | Stamford, CT 06902-3544 |
Second Address | Stamford, CT 06902-3544 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 17/05/2016 |