Provider Information for 1093251662
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Dr. DAMION GRASSO PhD
Sex: Male
NPI: 1093251662
Last Updated: 2017-01-09
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1093251662 | ||||||||||||
| Enumeration Date | 2017-01-06 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 65 KANE ST WEST HARTFORD, CT 06119-2110 United States Phone: 860-523-3745 | Fax:860-523-3736 | ||||||||||||
| Primary Practice Address | 65 KANE ST WEST HARTFORD, CT 06119-2110 United States Phone: 860-523-3745 | Fax:860-523-3736 | ||||||||||||
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