NPI 1629012661

Thomas M Domanick, DPM

Practitioner Primary Podiatric Medicine Podiatrist Stratford, CT

Practice location

Address: 1825 Barnum Ave, Stratford, CT 06614-5333
Phone: (203) 377-1777
Mailing address: 2660 Main St Suite 216, Bridgeport, CT 06606-5369

Registered specialties (2)

Primary Podiatric Medicine Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213EP1101X Licence P00289 (CT)

Other Podiatrist providers in Connecticut →

Foot Surgery Podiatrist

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0131X Licence P00289 (CT)

Registry record

NPI: 1629012661
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jun 2006
Record last updated: 7 Jan 2015

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.