Individual
DOMIGO RENE VICEDOMINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
H.I.S.
Contact information
Practice address
17 SUNSET RD, OLD SAYBROOK, CT 06475-2006
(985) 246-9737
(860) 395-4333
Mailing address
17 SUNSET RD, OLD SAYBROOK, CT 06475-2006
(985) 246-9737
(860) 395-4333
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
433
CT
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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