Look up the most recent NPI and PECOS records

Anthony J Damore

Obstetrics & Gynecology

Allopathic & Osteopathic Physicians

360 Dardanelli Ln, Suite 2a, Los Gatos, CA 95032-1421

PECOS Enrollment

This provider is enrolled in PECOS as ANTHONY DAMORE.

Based on the most recent information from CMS, provider Anthony J Damore is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 11:51 AM.

Profile Details

Provider ID
1932131307
Provider Type
Individual
Full Name
Damore, Anthony J
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
7/7/2006
Last Updated
7/28/2015

Contact Information

Practice Location

360 Dardanelli Ln, Suite 2a, Los Gatos, CA 95032-1421

(408) 866-4200

(408) 866-4943

Mailing Location

360 Dardanelli Ln, Suite 2a, Los Gatos, CA 95032-1421

(408) 866-4200

(408) 866-4943

Provider Taxonomies

Code	Description	License
Code 207V00000X Primary	Description Obstetrics & Gynecology Allopathic & Osteopathic Physicians	License G12987 California

Anthony J Damore

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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