Provider Demographics
NPI:1508031022
Name:E. STEVEN DAMON, D.P.M.
Entity Type:Organization
Organization Name:E. STEVEN DAMON, D.P.M.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR.
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:DAMON
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:860-745-6248
Mailing Address - Street 1:64 PALOMBA DR
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-3844
Mailing Address - Country:US
Mailing Address - Phone:860-745-6248
Mailing Address - Fax:860-741-2482
Practice Address - Street 1:64 PALOMBA DR
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082-3844
Practice Address - Country:US
Practice Address - Phone:860-745-6248
Practice Address - Fax:860-741-2482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty