Individual
DYANNA DOMILICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
142 BERKELEY ST STE 302, BOSTON, MA 02116-5100
(617) 774-8542
Mailing address
142 BERKELEY ST STE 302, BOSTON, MA 02116-5100
(617) 645-9119
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
220727
MA
Other
Enumeration date
08/20/2006
Last updated
11/28/2023
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