Thomas M Domanick in Bridgeport - Primary Podiatric Medicine
Thomas M Domanick - NPI 1629012661
Thomas M Domanick is a Primary Podiatric Medicine in Bridgeport, Connecticut. Thomas M Domanick practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Thomas M Domanick is 1629012661. The last update date is 2015-01-07.
Thomas M Domanick's current location address is 2660 Main St, Bridgeport, Connecticut. You can contact this provider via phone number 2033771777. The mailing address for Thomas M Domanick is 2660 Main St, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas M Domanick |
|---|---|
| Address | 2660 Main St, Bridgeport, Connecticut |
| Phone Number | 2033771777 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.P,M, |
NPI Number Detail
| NPI Number | 1629012661 |
|---|---|
| Provider Enumeration Date | 2006-06-16 |
| Last Updated Date | 2015-01-07 |
Provider Mailing Address Detail
| Address | 2660 Main St |
|---|---|
| City | Bridgeport |
| State | Connecticut (CT) |
| Post Code | 66065369 |
| Phone Number | 2033771777 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Primary Podiatric Medicine |
|---|---|
| Taxonomy | 213Ep1101X |
| Licence No | P00289 |
|
Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4051868 | CT | -- | |
| 0V2746 | CT | HEALTH NET | |
| ZS701 | CT | OXFORD | |
| 4144309 | CT | MEDICAID DME | |
| 0V2746 | CT | HEALTH NET SMART CHOICE | |
| 71014 | CT | AETNA | |
| 030000289CT02 | CT | ANTHEM BC/BS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Thomas M Domanick?
The Thomas M Domanick has been issued the NPI (National Provider Identifier) 1629012661 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Thomas M Domanick's facilities are situated?
The facilities of Thomas M Domanick are physically located at the following address: 2660 Main St, Bridgeport, CT, 66065369.
What is Thomas M Domanick's area of expertise and its corresponding taxonomy classification?
The Thomas M Domanick's field of specialization is Primary Podiatric Medicine, and it falls under the taxonomy code 213Ep1101X, which categorizes healthcare providers based on their areas of practice.
When was the Thomas M Domanick's 1629012661 issued?
The Thomas M Domanick's 1629012661 was issued on 2006-06-16.
When was the information pertaining to Thomas M Domanick most recently updated or revised?
The details related to Thomas M Domanick, including its address, specialty, and other relevant information, were last updated or revised on 2015-01-07.
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