Individual
DR. TROY E DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
15 YORK ST, NEW HAVEN, CT 06510-3221
(203) 785-4651
Mailing address
100 N 20TH STREET, SUITE 200, PHILADELPHIA, PA 19103
(215) 977-8100
(215) 977-8351
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
62058
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017511920
—
PA
Enumeration date
08/10/2006
Last updated
01/24/2019
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