Carlos Alberto Dominguez Gonzalez
Genetic Counselor, MS in Philadelphia, PA. Individual provider (NPI-1).
NPI number1104600501
StatusActive
Last updated in NPPESAug 24, 2023
Details
- NPI
- 1104600501
- Entity type
- Individual (NPI-1)
- Name
- Carlos Alberto Dominguez Gonzalez
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 24, 2023
- Certification date
- Aug 24, 2023
- Last updated
- Aug 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 170300000X | Genetic Counselor, MS | PGC000165 | PA | Yes |
Practice location
3401 Civic Center BlvdPhiladelphia, PA 19104-4319
Phone 215-590-1719 · Fax 215-590-1771
Mailing address
3401 Civic Center BlvdPhiladelphia, PA 19104-4319
Phone 215-590-1719 · Fax 215-590-1771
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