Individual
DR. DOMINIC C CEFALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4015 GATEWAY BLVD, STE 2120, NEWBURGH, IN 47630
(812) 464-9133
(812) 464-0536
Mailing address
PO BOX 1230, EVANSVILLE, IN 47706-1230
(812) 492-5457
(812) 464-4485
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
01049088A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200236680A
—
IN
05
—
64003940
—
KY
Enumeration date
02/15/2006
Last updated
07/03/2018
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