Individual
DR. FRANK J DOMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
604 MAIN ST, SHREWSBURY, MA 01545-5663
(508) 842-6502
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
150164
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3149510
—
MA
Enumeration date
11/23/2005
Last updated
12/15/2020
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