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Contact Information

ROSALIA R DOMINGUEZ, MD
ST. JAMES & THIRD ST
SUITE 103A
MANSFIELD, PA16933
 Phone: 570-662-7600
 Fax: 570-662-7726
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for ROSALIA R DOMINGUEZ · (Female)

NPI Number 1083677983
Status Active
Credentials MD
Entity Individual
Enumeration date 04/11/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD057363L
  • TN License # 28268
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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