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1558359471
GARY F DOMERACKI
PHILADELPHIA, PA
NPI
1558359471
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: PA MD063291L)
Enumeration Date
2005-10-13
Last Update Date
2017-03-21
Business Address
-- GARY F DOMERACKI MD
3401 N BROAD ST 6TH FL PARKINSON PAVILION
PHILADELPHIA, PA 19140-5103
Phone number: 215-707-3185
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Mailing Address
-- GARY F DOMERACKI MD
2450 W HUNTING PARK AVE
PHILADELPHIA, PA 19129-1302
Phone number: 215-707-3185
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