Individual
DR. DOMENIC A. SICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5051
(828) 655-3804
(828) 571-7804
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1745
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101027527
VA
207RN0300X
Nephrology Physician
Primary
0101027527
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000118
—
VA
Enumeration date
10/23/2006
Last updated
02/14/2013
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