TERESA DOMACK

FARMINGTON, CT
NPI1235540386
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CT  62215)
Additional Taxonomies208M00000X Hospitalist
(Licence: CT  62215)
Enumeration Date2014-05-12
Last Update Date2019-03-29
Business Address
TERESA DOMACK M.D.
21 SOUTH RD STE 110
FARMINGTON, CT 06032
Phone number: 860-284-4945
Mailing Address
TERESA DOMACK M.D.
21 SOUTH RD STE 110
FARMINGTON, CT 06032-2482
Phone number: 860-284-4945