Gregory S Domer in Bethlehem - Vascular Surgery
Gregory S Domer - NPI 1003872474
Gregory S Domer is a Vascular Surgery in Bethlehem, Pennsylvania. Gregory S Domer practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Gregory S Domer is 1003872474. The last update date is 2019-04-02.
Gregory S Domer's current location address is 801 Ostrum St, Bethlehem, Pennsylvania. You can contact this provider via phone number 4845038281 and fax number 8338165612. The mailing address for Gregory S Domer is 801 Ostrum St, Bethlehem, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory S Domer |
|---|---|
| Address | 801 Ostrum St, Bethlehem, Pennsylvania |
| Phone Number | 4845038281 |
| Fax Number | 8338165612 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1003872474 |
|---|---|
| Provider Enumeration Date | 2006-04-25 |
| Last Updated Date | 2019-04-02 |
Provider Mailing Address Detail
| Address | 801 Ostrum St |
|---|---|
| City | Bethlehem |
| State | Pennsylvania (PA) |
| Post Code | 180151000 |
| Phone Number | 4845038281 |
| Fax Number | 8338165612 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | MD427177 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 101443016 0001 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Gregory S Domer by the Centers for Medicare & Medicaid Services?
The Gregory S Domer has been assigned the NPI (National Provider Identifier) 1003872474 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Gregory S Domer's physical address?
The Gregory S Domer is physically located at 801 Ostrum St, in the city of Bethlehem, PA, with the postal code 180151000.
What is Gregory S Domer's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gregory S Domer is Vascular Surgery, and the taxonomy code that categorizes this field of expertise is 2086S0129X.
When was the Gregory S Domer's 1003872474 issued?
The Gregory S Domer's 1003872474 was issued on 2006-04-25.
When was the information related to Gregory S Domer most recently updated or refreshed?
The details pertaining to the Gregory S Domer, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-04-02.