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Contact Information

TERESA DOMACK, MD
21 SOUTH RD STE 110
FARMINGTON, CT06032
 Phone: 860-284-4945
 Fax: 860-284-4946
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for TERESA DOMACK · (Female)

NPI Number 1235540386
Status Active
Credentials MD
Entity Individual
Enumeration date 05/12/2014
Last updated 03/29/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 62215
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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