David J Domenichini Md, Pc

LBN: David J Domenichini Md, Pc
David J Domenichini Md, Pc is an health care organization with primary practice located at 701 Cottage Grove Rd Ste B220 , Bloomfield CT 06002-3077. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is the primary health care specialty. David J Domenichini Md, Pc can be contacted via phone (860) 561-1007, or through Domenichini, David J via phone (860) 561-1007.

Contact Information

Primary practice address
701 Cottage Grove Rd Ste B220 Bloomfield CT 06002-3077
Phone: (860) 561-1007
Fax: (860) 561-1222
Website:
Map and Directions
Authorized official contact:
Name: Domenichini, David J Doctor of Medicine (MD)
Phone: (860) 561-1007

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 032306 Connecticut
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 032306 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 032306 Connecticut

Profile Details

NPI number 1205018470
LBN Legal business name David J Domenichini Md, Pc
DBA Doing business as
Authorized official Domenichini, David J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2007
Last updated Oct 31st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205018470 NPPES
Connecticut Other C03887 MEDICARE GROUP
Connecticut Other 50DOMENICCT01 MEDICARE GROUP
Connecticut Other 500000218 MEDICARE GROUP
Connecticut Other 500000332 MEDICARE GROUP
Connecticut Other DH2482 MEDICARE GROUP

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