JUSTIN DOMINGO

WYNNEWOOD, PA
NPI1689316499
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-12
Last Update Date2022-04-12
Business Address
JUSTIN DOMINGO MD
100 E LANCASTER AVE
WYNNEWOOD, PA 19096-3450
Phone number: 484-476-1619
Mailing Address
JUSTIN DOMINGO MD
1257 JUDY RD
MOHEGAN LAKE, NY 10547-1904
Phone number: