Individual
ASHLEY DOMZALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPAS
Contact information
Practice address
100 E LANCASTER AVE, SUITE 256 MOB EAST, WYNNEWOOD, PA 19096-3432
(610) 642-6437
Mailing address
72 HEMLOCK DR, GLEN MILLS, PA 19342-1125
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA060142
PA
363A00000X
Physician Assistant
—
NJ
Other
Enumeration date
10/23/2017
Last updated
12/07/2024
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