NPI 1033564505
Domigo Rene Vicedomini, HIS
Practice location
- Address
- 17 Sunset Rd, Old Saybrook, CT 06475-2006
- Phone
- (985) 246-9737
- Fax
- (860) 395-4333
Registered specialties
Hearing Instrument Specialist
Primary
Registry record
- NPI
- 1033564505
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 May 2016
- Record last updated
- 3 May 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.