Provider Demographics
NPI:1780203695
Name:D'AMICO, MARIA JEAN (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:JEAN
Last Name:D'AMICO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:GLICKMAN UROLOGICAL INSTITUTE 9500 EUCLID AVE Q10
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-636-0537
Mailing Address - Fax:216-636-4492
Practice Address - Street 1:CLEVELAND CLINIC FOUNDATION 9500 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-4409
Practice Address - Country:US
Practice Address - Phone:216-636-0537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-10
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.152881208800000X
PAMT220661208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology