| Doctor Name: | DR. DAMON R SOEIRO |
| NPI Number: | 1023097250 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 223821 |
| Business Practice Address: | 1 Medical Center Blvd Crozer-chester Medical Center; Dept. Radiology Upland, PA - 190133902 |
| Business Phone Number: | 6104472595 |
| Business Fax Number: | |
| Mailing Address: | 1 Medical Center Blvd, Crozer-chester Medical Center; Dept. Of Radiology UPLAND |
| State: | PA |
| Postal Code: | 190133902 |
| Phone Number: | 6104472595 |
| Fax Number: | |
| NPI Enumeration Date: | 01/16/2006 |
| NPI Last Update Date: | 04/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 223821 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |