Individual
SUSAN C DEDOMINICIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP-C
Contact information
Practice address
990 PARADISE ROAD, SWAMPSCOTT, MA 01907
(781) 595-0151
(781) 592-6780
Mailing address
990 PARADISE ROAD, SWAMPSCOTT, MA 01907
(781) 595-0151
(781) 592-6780
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2290806
MA
Other
Enumeration date
02/19/2016
Last updated
12/16/2021
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