Individual
DR. JOHN DOMINIC PIACENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
470 PROSPECT BLVD # L, CORP-OHS, FREDERICK, MD 21701-6400
(240) 566-3001
Mailing address
470-L PROSPECT BLVD, CORP-OHS, FREDERICK, MD 21701-6400
(240) 566-3001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0055809
MD
2083X0100X
Occupational Medicine Physician
D0055809
MD
Other
Enumeration date
08/05/2006
Last updated
09/11/2025
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