| Doctor Name: | MARCELINA DAMASO |
| NPI Number: | 1184058364 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ACNP, BC |
| License Number: | F430741-1 |
| Business Practice Address: | 3039 Foulk Rd Garnet Valley, PA - 190601701 |
| Business Phone Number: | 6103610070 |
| Business Fax Number: | 6103610071 |
| Mailing Address: | 2377 Haverford Rd, 2nd Floor ARDMORE |
| State: | PA |
| Postal Code: | 190032912 |
| Phone Number: | 2398229046 |
| Fax Number: | |
| NPI Enumeration Date: | 08/24/2013 |
| NPI Last Update Date: | 11/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | F430741-1 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |