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Contact Information

MARTINE C DOMANGUE, MD
533 BOLIVAR ST RM 451B
NEW ORLEANS, LA70112-1349
 Phone: 504-568-2385
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MARTINE C DOMANGUE · (Female)

NPI Number 1649768516
Status Active
Credentials MD
Entity Individual
Enumeration date 04/26/2018
Last updated 09/16/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 313027
  • LA Medicaid 2495445
  • LA Other CDS.055295-INT CDS LICENSE
  • LA Other 313027 LOUISIANA LICENSE
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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