Individual
DELILAH DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 200-2508
(203) 688-4920
Mailing address
184 LIBERTY ST, NEW HAVEN, CT 06519-1625
(203) 688-9704
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5094
CT
Other
Enumeration date
04/06/2020
Last updated
01/12/2021
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