THOMAS M DOMANICK DPM NPI 1235316597

NPI Information

NPI: 1235316597
Provider Name: THOMAS M DOMANICK DPM
Classification: Podiatrist - 213ES0131X
Entity Type: Organization

Specialization: Foot Surgery

Address:
1825 BARNUM AVE
STRATFORD, CT
ZIP 06614
Phone: (203) 377-1777
Get Directions

THOMAS M DOMANICK DPM is a foot surgery podiatrist in Stratford, CT. THOMAS M DOMANICK DPM NPI is 1235316597. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1825 BARNUM AVE
STRATFORD, CT
ZIP 06614-333
Phone: (203) 377-1777
Fax: (203) 378-8348

The provider's authorized official is Thomas M Domanick .
The authorized official title is Owner and has the following contact phone number (203) 377-1777.

The enumeration date for this NPI number is 1/29/2008 and was last updated on 11/7/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		POO289	CONNECTICUT	No
2	332B00000X	Durable Medical Equipment & Medical Supplies				No
3	213ES0131X	Podiatrist	Foot Surgery	POO289	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0773490001	MEDICARE PIN	CONNECTICUT
2	0773490001	MEDICARE NSC	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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