Thomas M Domanick Dpm

NPI 1235316597 - Surgery - 208600000X

NPI Details
NPI 1235316597
Enumeration Date 01/29/2008
Last Updated 11/07/2012
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name THOMAS M THOMAS
Position OWNER
Phone (203) 377-1777
Fax (203) 378-8348
Practice Location
1825 BARNUM AVE
STRATFORD CT, 06614-5333, US
Phone (203) 377-1777
Fax (203) 378-8348
Business Location
1825 BARNUM AVE
SUITE 302
STRATFORD CT, 06614-5333, US
Phone (203) 377-1777
Fax (203) 378-8348
Toxanomy
Taxonomy Code 208600000X
License State Connecticut
License Number POO289
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According to our database, Thomas M Domanick Dpm NPI is 1235316597, taxonomy code is 208600000X and license number is POO289, license state is located at Connecticut. Thomas M Domanick Dpm physically located at 1825 Barnum Ave, Stratford CT, 06614-5333. NPI Number 1033115704 has the healthcare provider type.

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1235316597 NPI number is provided on an as is basis without warranty of any kind. 1235316597 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas M Domanick Dpm are for informational purposes only.