SEAN D DOMZALSKI

WILKES-BARRE, PA
NPI1003213919
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: PA  MA057321)
Enumeration Date2014-11-21
Last Update Date2015-09-21
Business Address
-- SEAN D DOMZALSKI PA-C
150 MUNDY STREET MAC IV BUILDING
WILKES-BARRE, PA 18702
Phone number: 570-824-0930
Mailing Address
-- SEAN D DOMZALSKI PA-C
243 S PROSPECT ST
NANTICOKE, PA 18634-2449
Phone number: 570-417-5402
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