Individual
MR. DOMENIC JOSEPH THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
9403 HARFORD RD, SUITE 7, BALTIMORE, MD 21234-3123
(410) 882-4852
(410) 882-4853
Mailing address
9403 HARFORD RD, SUITE 7, BALTIMORE, MD 21234-3123
(410) 882-4852
(410) 882-4853
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U01116
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BN99DJ
CAREFIRST BC/BS OF MD
MD
01
—
G733-0001
BLUECHOICE PROVIDER #
DC
Enumeration date
09/21/2006
Last updated
07/08/2007
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