Individual
DR. RAYMOND A DOMBROSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 MOYE BLVD, ECU PHYSICIANS OB/GYN BRODY OUTPATIENT CENTER, GREENVILLE, NC 27834-4300
(252) 744-2350
(252) 744-2967
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3520
(252) 744-3194
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
25791
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260033272
RAILROAD MEDICARE
NC
01
—
28818
BCBS NC
NC
05
—
8928818
—
NC
Enumeration date
08/03/2005
Last updated
11/02/2011
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