Individual
DR. DOMINIC FRANCIS GLORIOSO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4310 LONDONDERRY RD, SUITE 109, HARRISBURG, PA 17109-5300
(717) 988-0611
(717) 231-8778
Mailing address
409 SOUTH FRONT ST, STE 2F, HARRISBURG, PA 17104-1612
(717) 988-0611
(717) 231-8778
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS005142L
PA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
OS005142L
PA
208M00000X
Hospitalist Physician
OS005142L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001664480
—
PA
Enumeration date
06/29/2006
Last updated
05/09/2019
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