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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SEAN D DOMZALSKI, PA-C

Active

SEAN D DOMZALSKI, PA-C is a Medical Physician Assistant healthcare provider located in WILKES-BARRE, Pennsylvania. NPI 1003213919 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · WILKES-BARRE, PA

Registration Details

NPI Number
1003213919
Provider Type
Individual
Gender
Male
NPI Issued
Nov 21, 2014 (11.756051038711 yrs)
Last Updated
Sep 21, 2015
License
MA057321 (PA)

Practice Information

Address
150 MUNDY STREET
MAC IV BUILDING
WILKES-BARRE, PA, 18702
Browse PA providers · Browse ZIP 18702
Phone
5708240930
Fax
5708247755
Primary Specialty
Medical Physician Assistant
363AM0700X

Other Medical Physician Assistant Providers in WILKES-BARRE, PA

Name Credential NPI
LARISA ALEXEYEVNA YARCZOWER PA-C 1043394216
ALISHA R WAINWRIGHT PA-C 1427484187
MR. STANLEY J YANIK PA-C 1033661061
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.