Gloria Damien, MD, P.C.

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

D24766 Issued in MD

Legal business name

GLORIA DAMIEN, MD, P.C.

Practice address

724 Maiden Choice LN
Suite 300
Baltimore, MD 21228-5911

Phone

(410) 719-0800

Fax

(410) 719-0803

NPI assigned

Dec 20, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gloria Damien, MD

Title

Physician

Phone

(410) 719-0800

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307232000000",
    "number": "1316240047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 MAIDEN CHOICE LN",
            "address_2": "SUITE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212285911",
            "telephone_number": "410-719-0800",
            "fax_number": "410-719-0803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 MAIDEN CHOICE LN",
            "address_2": "SUITE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212285911",
            "telephone_number": "410-719-0800",
            "fax_number": "410-719-0803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORIA DAMIEN, MD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2011-06-05",
        "status": "A",
        "authorized_official_last_name": "DAMIEN",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "410-719-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MD",
            "license": "D24766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Geriatric Medicine (Internal Medicine) Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Geriatric Medicine (Internal Medicine) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.