Individual
DR. DOMINGO T ALVEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 WALNUT ST, LEMOYNE, PA 17043-1168
(717) 232-9593
(717) 234-9638
Mailing address
409 S 2ND ST, SUITE 2F, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
MD033698L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006399930001
—
PA
05
—
0006399930005
—
PA
01
—
01605301
BLUE CROSS
PA
01
—
AL128403
BLUE SHIELD
PA
Enumeration date
06/14/2005
Last updated
04/12/2016
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