Provider Demographics
NPI:1730253923
Name:ALDO DAMIANI MD PC
Entity type:Organization
Organization Name:ALDO DAMIANI MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN AND PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALDO
Authorized Official - Middle Name:L
Authorized Official - Last Name:DAMIANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-281-3800
Mailing Address - Street 1:203 OMNI DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-4525
Mailing Address - Country:US
Mailing Address - Phone:908-281-3800
Mailing Address - Fax:
Practice Address - Street 1:203 OMNI DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-4525
Practice Address - Country:US
Practice Address - Phone:908-281-3800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06157100207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJG08324Medicare UPIN