Individual
DR. CONNIE D DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
92 BRICK RD, 3RD FLOOR, MARLTON, NJ 08053-2177
(856) 489-4520
(856) 983-1065
Mailing address
PO BOX 674, MARLTON, NJ 08053-0674
(856) 489-4520
(856) 983-1065
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
25MA06376400
NJ
2081P0010X
Pediatric Rehabilitation Medicine Physician
MD2026-0032
NM
Other
Enumeration date
10/24/2005
Last updated
02/16/2026
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