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Contact Information

MARTHA O DOMMISSE, MD
1201 BROAD ROCK BLVD
RICHMOND, VA23249-0001
 Phone: 804-675-6746
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MARTHA O DOMMISSE · (Female)

NPI # 1083773006
Status Active
Credentials MD
Entity Individual
Enumeration date 12/06/2006
Last updated 02/22/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0101240512
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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