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

LOUIS DOMENICO JR., MD

Active

LOUIS DOMENICO JR., MD is a Therapeutic Radiology healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1942380902 is currently active in the NPPES registry. Verify at CMS.

Therapeutic Radiology · PHILADELPHIA, PA

Registration Details

NPI Number
1942380902
Provider Type
Individual
Gender
Male
NPI Issued
Oct 16, 2006 (19.868154242246 yrs)
Last Updated
Feb 18, 2021
Licenses
MD426532 (PA)
25MA08328500 (NJ)
25MA08328500 (NJ)
MD426532 (PA)

Practice Information

Address
2412-14 WEST PASSYUNK AVENUE
PHILADELPHIA, PA, 191454114
Browse PA providers · Browse ZIP 19145
Phone
2154622100
Fax
2154623100
Primary Specialty
Therapeutic Radiology
2085R0204X
Additional Specialty
Diagnostic Radiology
Additional Specialty
Therapeutic Radiology
Additional Specialty
Therapeutic Radiology

Other Therapeutic Radiology Providers in PHILADELPHIA, PA

Name Credential NPI
GARY S COHEN MD 1891784559
MARK HYSELL DO 1174513105
TODD MAKLER MD 1205826898
RICHARD J GRAY MD 1407846090
PAUL CHASE 1275517427
AARON OPHER SHILOH M.D. 1003886896
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.