Individual
DR. GLORIA SUJA DOMINGO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
809 N HAMMONDS FERRY RD STE C, LINTHICUM, MD 21090
(410) 789-2500
(410) 789-2501
Mailing address
809 N HAMMONDS FERRY RD STE C, LINTHICUM, MD 21090
(410) 789-2500
(410) 789-2501
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D26491
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270871001
—
MD
Enumeration date
05/05/2006
Last updated
07/08/2007
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