Thomas M Domanick, DP, M
Podiatrist, Primary Podiatric Medicine in Stratford, Connecticut
1629012661- Practice location
- 1825 Barnum Ave, Stratford, CT 06614-5333
- Phone
- 203-377-1777
- Fax
- —
- Last updated
- January 7, 2015
Thomas M Domanick is a Podiatrist, Primary Podiatric Medicine based in Stratford, CT. Thomas M Domanick practices in Stratford, CT and has the professional credentials of DP, M. The NPI Number for Thomas M Domanick is 1629012661 and holds a License No. P00289 (CT). The current practice location address for Thomas M Domanick is 1825 Barnum Ave, Stratford, CT 06614-5333 and can be reached out via phone at 203-377-1777.
Provider Profile Details
- NPI Number
- 1629012661
- Provider Name
- Thomas M Domanick
- Credential
- DP, M
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1825 Barnum Ave, Stratford, CT 06614-5333
- Phone Number
- 203-377-1777
- Primary Taxonomy
- Podiatrist, Primary Podiatric Medicine · 213EP1101X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 16, 2006
- Last Update Date
- January 7, 2015
- 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
Provider Business Mailing Address Details
- Address
- 2660 Main St
Suite 216
Bridgeport, CT 06606-5369 - City
- Bridgeport
- State
- CT
- Zip
- 06606-5369
- Phone Number
- 203-377-1777
License Information
- License Number (1)
- P00289
- License State (1)
- CT
- Taxonomy (1)
- Podiatrist, Primary Podiatric Medicine · 213EP1101X · Primary
- License Number (2)
- P00289
- License State (2)
- 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, DP, M?
The NPI number of Thomas M Domanick, DP, M is 1629012661. It was assigned on June 16, 2006 and is currently active in the NPPES registry.
What is the specialty of Thomas M Domanick, DP, M?
Thomas M Domanick, DP, M is registered under the primary taxonomy Podiatrist, Primary Podiatric Medicine (code 213EP1101X), licensed in CT under license number P00289.
Where does Thomas M Domanick, DP, M practice?
The practice location is 1825 Barnum Ave, Stratford, CT 06614-5333. The office can be reached at 203-377-1777 (phone).
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 1629012661 directly on the NPPES registry website.