MEDICARE: MARIE DAM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036441	CT
2	207R00000X	Internal Medicine Physician	113731	FL
3	207R00000X	Internal Medicine Physician	45523	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164576062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIE DAM MD

Provider Business Mailing Address
First Line	:	35 TOWER LN
Second Line	:	SUITE 103
City	:	AVON
State	:	CT
Zip	:	06001-4237
Country	:	US
Telephone Number	:	860-921-3345
Fax Number	:	860-201-1041

Provider Business Practice Location Address
First Line	:	35 TOWER LN
Second Line	:	SUITE 103
City	:	AVON
State	:	CT
Zip	:	06001-4237
Country	:	US
Telephone Number	:	860-921-3345
Fax Number	:	860-201-1041

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	05/19/2015

Similar Medicare Providers

1427056472 — DEBRA V JOHNSON APRN
Practice Location Address:

35 TOWER LN STE 104
AVON, CT
06001-4237

Practice Phone: 860-983-0655
Practice Fax:

1710190590 — SORAYA SAWICKI LCSW
Practice Location Address:

35 TOWER LN , SUITE 202
AVON, CT
06001-4237

Practice Phone: 860-404-2736
Practice Fax: 860-470-3988

1700221371 — DYNAMIC HEALTH PHYSICAL THERAPY
Practice Location Address:

35 TOWER LANE , SUITE 110
AVON, CT
06001-4237

Practice Phone: 860-404-2549
Practice Fax: 860-404-2621

1932561222 — FARMINGTON VALLEY INTEGRATIVE THERAPY, LLC
Practice Location Address:

35 TOWER LN STE 104
AVON, CT
06001-4237

Practice Phone: 860-751-9257
Practice Fax: 860-516-1170

1942759733 — INFINITY INTEGRATED COUNSELING AND HOLISTIC WELLNESS CENTER LLC.
Practice Location Address:

35 TOWER LN , SUITE 202
AVON, CT
06001-4237

Practice Phone: 860-404-2736
Practice Fax: 860-470-3988

1740709443 — MORGAN LEE JENNINGS APRN
Practice Location Address:

35 TOWER LN
AVON, CT
06001-4237

Practice Phone: 855-825-4026
Practice Fax:

Directions to “ MARIE DAM MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.