Domack, Teresa

Domack, Teresa is an individual health care provider with primary practice located at 21 South Rd Ste 110 , Farmington CT 06032. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Domack, Teresa can be contacted via phone (860) 284-4945.

Contact Information

Primary practice address
21 South Rd Ste 110 Farmington CT 06032
Phone: (860) 284-4945
Fax: (860) 284-4946
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 62215 Connecticut
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 62215 Connecticut

Profile Details

NPI number 1235540386
LBN Legal business name Domack, Teresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2014
Last updated Mar 29th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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