Larryl L Damon Jr., DO
Pediatrics in Waterbury, Connecticut
1154855542- Practice location
- 51 N Elm St, Waterbury, CT 06702-1545
- Phone
- 203-574-4000
- Fax
- —
- Last updated
- August 15, 2024
Larryl L Damon is a Pediatrics based in Waterbury, CT. Larryl L Damon practices in Waterbury, CT and has the professional credentials of DO. The NPI Number for Larryl L Damon is 1154855542 and holds a License No. OS020705 (PA). The current practice location address for Larryl L Damon is 51 N Elm St, Waterbury, CT 06702-1545 and can be reached out via phone at 203-574-4000.
Provider Profile Details
- NPI Number
- 1154855542
- Provider Name
- Larryl L Damon
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 51 N Elm St, Waterbury, CT 06702-1545
- Phone Number
- 203-574-4000
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 12, 2017
- Last Update Date
- August 15, 2024
- Certification Date
- August 15, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 51 N Elm St
Waterbury, CT 06702-1545 - City
- Waterbury
- State
- Connecticut
- Zip
- 06702-1545
- Phone Number
- 203-574-4000
Provider Business Mailing Address Details
- Address
- 601 Park St
Honesdale, PA 18431-1445 - City
- Honesdale
- State
- PA
- Zip
- 18431-1445
License Information
- License Number (1)
- OS020705
- License State (1)
- PA
- Taxonomy (1)
- Pediatrics · 208000000X
- License Number (2)
- 77040
- License State (2)
- CT
- Taxonomy (2)
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Christine Maffeo-Anton, MDPediatrics · NPI 1568662666
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Frequently Asked Questions
What is the NPI number of Larryl L Damon Jr., DO?
The NPI number of Larryl L Damon Jr., DO is 1154855542. It was assigned on April 12, 2017 and is currently active in the NPPES registry.
What is the specialty of Larryl L Damon Jr., DO?
Larryl L Damon Jr., DO is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in PA under license number OS020705.
Where does Larryl L Damon Jr., DO practice?
The practice location is 51 N Elm St, Waterbury, CT 06702-1545. The office can be reached at 203-574-4000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154855542 directly on the NPPES registry website.