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Contact Information

ALBERT T. DOMINGO MS MD INC
3120 PARKWAY ST NW
SUITE A
CANTON, OH44708-3981
 Phone: 330-452-9460
 Fax: 330-452-9520
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ALBERT T. DOMINGO MS MD INC

NPI Number 1164582631
LBN Legal business name ALBERT T. DOMINGO MS MD INC
Authorized official ALBERT DOMINGO - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/12/2006
Last updated 10/17/2016 - About 10 years ago
Identifiers
OH License # 49267
OH Medicaid 0544370
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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