Individual
DR. MINERVA DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20 RESEARCH PL, N CHELMSFORD, MA 01863-2454
(978) 788-7307
(978) 788-7890
Mailing address
20 RESEARCH PL STE 320, N CHELMSFORD, MA 01863-2455
(978) 256-1858
(978) 788-7890
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
157601
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025776
NEIGHBORHOOD HEALTH PLAN
MA
01
—
131062
HARVARD PILGRIM
MA
01
—
136878
HEALTHSOURCE
MA
01
—
157601
MEDICAL LICENSE
MA
01
—
1639170210
FALLON
MA
01
—
2636907
AETNA US HEALTHCARE
MA
05
—
3189198
—
MA
01
—
37371
HEALTHY START
MA
01
—
45016
FALLON
MA
01
—
981061
NETWORK
MA
01
—
J19862
BCBS
MA
Enumeration date
08/09/2005
Last updated
11/10/2020
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