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David J Domenichini Md, Pc
Nurse Practitioner in Bloomfield, Connecticut
NPI 1205018470

David J Domenichini Md, Pc is a Nurse Practitioner based in Bloomfield, CT. David J Domenichini Md, Pc practices in Bloomfield, CT. The NPI Number for David J Domenichini Md, Pc is 1205018470 and holds a License No. 032306 (Connecticut).

The current practice location address for David J Domenichini Md, Pc is 701 Cottage Grove Rd Ste B220, Bloomfield, CT and can be reached out via phone at 860-561-1007 and via fax at 860-561-1222.

Location: 701 Cottage Grove Rd Ste B220, Bloomfield, CT, 06002-3077
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205018470
Provider Name
David J Domenichini Md, Pc
Credential
Provider Entity Type
Organization
Address
701 Cottage Grove Rd Ste B220, Bloomfield, CT, 06002-3077
Phone Number
860-561-1007
Fax Number
860-561-1222
Provider Enumeration Date
11/29/2007
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C03887 01 CT MEDICARE GROUP
50DOMENICCT01 01 CT ANTHEM BLUE CROSS/ BLUE SHIELD GROUP
500000218 01 CT MEDICAID GROUP
500000332 01 CT MEDICAID APRN GROUP
DH2482 01 CT MEDICARE RAILROAD GROUP
institution
Provider Business Practice Location Address Details
Address
701 Cottage Grove Rd Ste B220
City
Bloomfield
State
Connecticut
Zip
06002-3077
Phone Number
860-561-1007
Fax Number
860-561-1222
person
Provider Business Mailing Address Details
Address
701 Cottage Grove Rd Ste B220
City
Bloomfield
State
Connecticut
Zip
06002-3077
Phone Number
860-561-1007
Fax Number
860-561-1222
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
032306 (Connecticut)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Endocrinology, Diabetes & Metabolism
Taxonomy
207RE0101X
License No.
032306 (Connecticut)
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
032306 (Connecticut)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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