Individual
PHILIP J DOMBROWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 MAIN ST, HYANNIS, MA 02601-3129
(508) 778-1829
(508) 778-0113
Mailing address
25 MAIN ST, HYANNIS, MA 02601-3129
(508) 778-1829
(508) 778-0113
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
54472
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000030592
BOSTON MEDICAL CENTER
MA
01
—
11080515
CAQH
MA
01
—
1600054
UNITED HEALTHCARE
MA
01
—
1679672794
NETWORK HEALTH
MA
01
—
240569
HARVARD PILGRIM
MA
01
—
2727552001
CIGNA
MA
01
—
2948032
AETNA
MA
05
—
6199097
—
MA
01
—
761050
TUFTS
MA
01
—
940000308
MEDICARE ID
MA
01
—
J04892
BLUE CROSS BLUE SHIELD
MA
Enumeration date
09/22/2006
Last updated
07/02/2008
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