Individual
DOLORES DOMINGUEZ SANTAMARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4815 LIBERTY AVE STE 439, PITTSBURGH, PA 15224-2156
(412) 578-3925
(412) 605-6361
Mailing address
4815 LIBERTY AVE STE 439, PITTSBURGH, PA 15224-2156
(412) 578-3925
(412) 605-6361
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD442808
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103332633
—
PA
01
—
12408993
CAQH
—
Enumeration date
08/23/2007
Last updated
09/30/2020
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