Individual
ERIC DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
795 MIDDLE ST, FALL RIVER, MA 02721-1733
(508) 235-5258
(508) 375-5671
Mailing address
795 MIDDLE ST, FALL RIVER, MA 02721-1733
(508) 235-5258
(508) 375-5671
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
224227
MA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
224227
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00V560P98
—
MA
Enumeration date
09/12/2005
Last updated
05/19/2008
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