Provider Demographics
NPI:1790847325
Name:DAMION, JULIUS (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIUS
Middle Name:
Last Name:DAMION
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 US ROUTE 1
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-7219
Mailing Address - Country:US
Mailing Address - Phone:207-774-2113
Mailing Address - Fax:207-774-9165
Practice Address - Street 1:144 US ROUTE 1
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-7219
Practice Address - Country:US
Practice Address - Phone:207-774-2113
Practice Address - Fax:207-774-9165
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME011938207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME115520099Medicaid
MEMM0314Medicare PIN
ME115520099Medicaid