Thomas M Domanick DPM
Healthcare Provider in Stratford, Connecticut
1235316597- Practice location
- 1825 Barnum Ave, Stratford, CT 06614-5333
- Phone
- 203-377-1777
- Fax
- 203-378-8348
- Last updated
- November 7, 2012
Thomas M Domanick DPM is a healthcare organization based in Stratford, CT. Thomas M Domanick DPM practices in Stratford, CT. The NPI Number for Thomas M Domanick DPM is 1235316597 and holds a License No. POO289 (CT). The current practice location address for Thomas M Domanick DPM is 1825 Barnum Ave, Stratford, CT 06614-5333 and can be reached out via phone at 203-377-1777 and via fax at 203-378-8348.
Provider Profile Details
- NPI Number
- 1235316597
- Provider Name
- Thomas M Domanick DPM
- Provider Entity Type
- Organization
- Address
- 1825 Barnum Ave, Stratford, CT 06614-5333
- Phone Number
- 203-377-1777
- Fax Number
- 203-378-8348
- Primary Taxonomy
- Healthcare Provider · 213ES0131X
- Organization Subpart
- No
- Authorized Official
- Thomas M Domanick, D, PM · Owner · 203-377-1777
- Provider Enumeration Date
- January 29, 2008
- Last Update Date
- November 7, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1825 Barnum Ave
Stratford, CT 06614-5333 - City
- Stratford
- State
- Connecticut
- Zip
- 06614-5333
- Phone Number
- 203-377-1777
- Fax Number
- 203-378-8348
Provider Business Mailing Address Details
- Address
- 1825 Barnum Ave
Suite 302
Stratford, CT 06614-5333 - City
- Stratford
- State
- CT
- Zip
- 06614-5333
- Phone Number
- 203-377-1777
- Fax Number
- 203-378-8348
License Information
- License Number (1)
- POO289
- License State (1)
- CT
- Taxonomy (1)
- Surgery · 208600000X
- Taxonomy (2)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- License Number (3)
- POO289
- License State (3)
- CT
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Thomas M Domanick DPM?
The NPI number of Thomas M Domanick DPM is 1235316597. It was assigned on January 29, 2008 and is currently active in the NPPES registry.
What is the specialty of Thomas M Domanick DPM?
Thomas M Domanick DPM is registered under the primary taxonomy Healthcare Provider (code 213ES0131X), licensed in CT under license number POO289.
Where does Thomas M Domanick DPM practice?
The practice location is 1825 Barnum Ave, Stratford, CT 06614-5333. The office can be reached at 203-377-1777 (phone) or 203-378-8348 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235316597 directly on the NPPES registry website.