Individual
RONALDO L DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 CHRISTIANA MED CTR, NEWARK, DE 19702
(302) 731-5548
(302) 738-6065
Mailing address
620 CHRISTIANA MED CTR, NEWARK, DE 19702
(302) 731-5548
(302) 738-6065
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
C1-0000661
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000110601
—
DE
Enumeration date
02/14/2007
Last updated
05/14/2008
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