Individual
MR. DOMENIC ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0002
(860) 679-4450
Mailing address
145 MORTON RD, WATERBURY, CT 06705-3054
(203) 465-9215
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
10914
CT
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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