Individual
DR. DOMINICK S GIOVANNIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13 STANWICH LN, BURLINGTON, CT 06013-2000
(917) 991-7668
Mailing address
13 STANWICH LN, BURLINGTON, CT 06013-2000
(917) 991-7668
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
54309
CT
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
251653
NY
Other
Enumeration date
02/28/2009
Last updated
07/25/2016
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