THOMAS JOSEPH DOMINGUEZ

BRIDGEPORT, CT
NPI1568945004
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CT  4269)
Enumeration Date2018-09-11
Last Update Date2024-05-25
Business Address
THOMAS JOSEPH DOMINGUEZ
267 GRANT ST
BRIDGEPORT, CT 06610-2870
Phone number: 203-502-4723
Mailing Address
THOMAS JOSEPH DOMINGUEZ
267 GRANT ST
BRIDGEPORT, CT 06610-2870
Phone number: 203-502-4723