Domer, Gregory S
Domer, Gregory S is an individual health care provider with primary practice located at 3735 Nazareth Rd Ste 206 , Easton PA 18045-8346. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Domer, Gregory S can be contacted via phone (484) 503-8281.Contact Information
Primary practice address
3735 Nazareth Rd Ste 206
Easton PA 18045-8346
Phone: (484) 503-8281
Fax: (833) 866-5612
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD427177 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 25MA07250800 | New Jersey |
Profile Details
| NPI number | 1003872474 |
|---|---|
| LBN Legal business name | Domer, Gregory S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2006 |
| Last updated | Apr 2nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003872474 | NPPES |
| Pennsylvania | MEDICAID | 101443016 0001 |
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