Albert T. Domingo Ms MD INC
Specialist in Canton, OH. Organization (NPI-2).
NPI number1164582631
StatusActive
Last updated in NPPESOct 17, 2016
Details
- NPI
- 1164582631
- Entity type
- Organization (NPI-2)
- Legal business name
- Albert T. Domingo Ms MD INC
- Organization subpart
- No
- Enumeration date
- Dec 12, 2006
- Last updated
- Oct 17, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 49267 | OH | Yes |
Practice location
3120 Parkway St NwSuite A
Canton, OH 44708-3981
Phone 330-452-9460 · Fax 330-452-9520
Mailing address
3120 Parkway St NwSuite A
Canton, OH 44708-3981
Phone 330-452-9460 · Fax 330-452-9520
Authorized official
Albert T. Domingo
President
3304529460
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