Gary F Domeracki in Philadelphia - Ophthalmology
Gary F Domeracki - NPI 1558359471
Gary F Domeracki is a Ophthalmology in Philadelphia, Pennsylvania. Gary F Domeracki practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Gary F Domeracki is 1558359471. The last update date is 2017-03-21.
Gary F Domeracki's current location address is 2450 W Hunting Park Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157073185 and fax number 2157071684. The mailing address for Gary F Domeracki is 2450 W Hunting Park Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary F Domeracki |
|---|---|
| Address | 2450 W Hunting Park Ave, Philadelphia, Pennsylvania |
| Phone Number | 2157073185 |
| Fax Number | 2157071684 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1558359471 |
|---|---|
| Provider Enumeration Date | 2005-10-13 |
| Last Updated Date | 2017-03-21 |
Provider Mailing Address Detail
| Address | 2450 W Hunting Park Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191291302 |
| Phone Number | 2157073185 |
| Fax Number | 2157071684 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | MD063291L |
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Definition: An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 178192300012 | PA | -- |
Post Comment/ Review Below
Could you provide the complete address where Gary F Domeracki is physically located?
The Gary F Domeracki is situated at the following address: 2450 W Hunting Park Ave, Philadelphia, PA 191291302.
Could you please share the complete physical location address where Gary F Domeracki's facilities are situated?
The facilities of Gary F Domeracki are physically located at the following address: 2450 W Hunting Park Ave, Philadelphia, PA, 191291302.
What is Gary F Domeracki's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gary F Domeracki's area of specialization is Ophthalmology, and the corresponding taxonomy code that categorizes this field of practice is 207W00000X.
On what date did the Gary F Domeracki receive the assignment of its 1558359471 from the Centers for Medicare & Medicaid Services?
The Gary F Domeracki was issued its 1558359471 by the Centers for Medicare & Medicaid Services on 2005-10-13.
As of what date was the information pertaining to Gary F Domeracki, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gary F Domeracki, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2017-03-21.
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