Provider Demographics
NPI:1982239430
Name:DAM, CATHERINE (PA, MPH)
Entity Type:Individual
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First Name:CATHERINE
Middle Name:
Last Name:DAM
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Gender:F
Credentials:PA, MPH
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Mailing Address - Street 1:5 PERRYRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-4697
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:357 COMMERCIAL ST APT 420
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02109-1236
Practice Address - Country:US
Practice Address - Phone:310-291-9503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-05
Last Update Date:2023-10-18
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant