Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
THOMAS M DOMANICK, D.P,M
ActiveTHOMAS M DOMANICK, D.P,M is a Radiology Podiatrist healthcare provider located in STRATFORD, Connecticut. NPI 1629012661 is currently active in the NPPES registry. Verify at CMS.
Radiology Podiatrist · STRATFORD, CT
Registration Details
- NPI Number
- 1629012661
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2006 (20.135056605818 yrs)
- Last Updated
- Jan 7, 2015
- Licenses
-
P00289 (CT)P00289 (CT)
Practice Information
- Address
-
1825 BARNUM AVESTRATFORD, CT, 066145333Browse CT providers · Browse ZIP 06614
- Phone
- 2033771777
- Primary Specialty
-
Radiology Podiatrist
213EP1101X
- Additional Specialty
- Foot Surgery Podiatrist
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.