Healthcare Provider Details

I. General information

NPI: 1699921866
Provider Name (Legal Business Name): DAMIAN K. ARCHER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2008
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 ROUTE 28
HARWICH PORT MA
02646-1931
US

IV. Provider business mailing address

PO BOX 2796
ORLEANS MA
02653-6796
US

V. Phone/Fax

Practice location:
  • Phone: 508-432-1400
  • Fax: 508-487-6298
Mailing address:
  • Phone: 508-432-1400
  • Fax: 508-487-6298

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number248327
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: