Spitz, Damon

Spitz, Damon is an individual health care provider with primary practice located at 125 Parker Hill Ave , Roxbury Crossing MA 02120-2847. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Spitz, Damon can be contacted via phone (617) 754-5800.

Contact Information

Primary practice address
125 Parker Hill Ave Roxbury Crossing MA 02120-2847
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 160886 Massachusetts

Profile Details

NPI number 1164417994
LBN Legal business name Spitz, Damon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164417994 NPPES
Massachusetts MEDICAID 3206084

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