Individual
DR. THOMAS F DOMINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 JPM RD STE 300, LEWISBURG, PA 17837-9367
(570) 524-4446
(570) 768-4623
Mailing address
1 HOSPITAL DR STE 306, LEWISBURG, PA 17837-9350
(570) 522-4110
(570) 768-3911
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD054208L
PA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
MD054208L
PA
Other
Enumeration date
03/23/2006
Last updated
06/08/2022
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