Dominici, Laura S

Dominici, Laura S is an individual health care provider with primary practice located at 450 Brookline Ave Dana Farber Cancer Institute, Boston MA 02215-5418. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is her primary health care specialty. Dominici, Laura S can be contacted via phone (617) 632-3521.

Contact Information

Primary practice address
450 Brookline Ave Dana Farber Cancer Institute Boston MA 02215-5418
Phone: (617) 632-3521
Fax: (617) 582-7730
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 218143 Massachusetts
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X M9981 Texas
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 240034 Massachusetts

Profile Details

NPI number 1316118797
LBN Legal business name Dominici, Laura S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2008
Last updated May 15th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316118797 NPPES
Massachusetts MEDICAID 110083330A

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