Individual
CHRISTOPHER MICHAEL DOMUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
147 MILK ST, 3RD FLOOR, BOSTON, MA 02109-4806
(617) 654-7280
Mailing address
147 MILK ST, 9TH FLOOR, BOSTON, MA 02109-4806
(617) 654-7280
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
254747
MA
207V00000X
Obstetrics & Gynecology Physician
A86887
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A868870
—
CA
05
—
110096676A
—
MA
Enumeration date
05/05/2006
Last updated
11/25/2024
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