Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CONNIE D DOMINGO, MD
ActiveDR. CONNIE D DOMINGO, MD is a Pediatric Rehabilitation Medicine healthcare provider located in MARLTON, New Jersey. NPI 1902896889 is currently active in the NPPES registry. Verify at CMS.
Pediatric Rehabilitation Medicine · MARLTON, NJ
Registration Details
- NPI Number
- 1902896889
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 24, 2005 (20.843042347899 yrs)
- Last Updated
- Feb 16, 2026
- Licenses
-
MD2026-0032 (NM)25MA06376400 (NJ)
Practice Information
- Address
-
92 BRICK RD3RD FLOORMARLTON, NJ, 080532177Browse NJ providers · Browse ZIP 08053
- Phone
- 8564894520
- Fax
- 8569831065
- Primary Specialty
-
Pediatric Rehabilitation Medicine
2081P0010X
- Additional Specialty
- Pediatric Rehabilitation Medicine
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.