Organization
ALBERT T. DOMINGO MS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT T. DOMINGO MD (PRESIDENT)
(330) 452-9460
Entity
Organization
Contact information
Practice address
3120 PARKWAY ST NW, SUITE A, CANTON, OH 44708-3981
(330) 452-9460
(330) 452-9520
Mailing address
3120 PARKWAY ST NW, SUITE A, CANTON, OH 44708-3981
(330) 452-9460
(330) 452-9520
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
49267
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0544370
—
OH
Enumeration date
12/12/2006
Last updated
10/17/2016
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