Individual
DR. MARK CHRISTIAN DOMANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8316 ARLINGTON BLVD STE 524, FAIRFAX, VA 22031-5216
(703) 596-1660
(703) 646-6979
Mailing address
8316 ARLINGTON BLVD STE 524, FAIRFAX, VA 22031-5216
(703) 596-1660
(703) 646-6979
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
0101257764
VA
208200000X
Plastic Surgery Physician
0101257764
VA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
0101257764
VA
Other
Enumeration date
10/04/2007
Last updated
01/26/2024
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