Mark Thomas Domenick, MD

NPI #1770536476 in Oakland, Maryland

Provider Information

NPI Number: 1770536476
Entity Type: Individual
Name: Mark Thomas Domenick, MD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Emergency Medicine
Credential: MD
Enumeration Date: May 17, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 251 N FOURTH STREET
City: Oakland
State: Maryland
ZIP Code: 21550-1375
Phone: (301) 533-4190

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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