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Justin Domenico
NPI 1053960690 · on the registry since 2019
Practice
- Address
- 100 E Lancaster Ave
Wynnewood, PA 19096 - Phone
- (484) 476-2000
- Organisation at this address
- Gary Gordon
Walgreen Co.
Donald J Corey
Ling Associates
P&K Pharmacy IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 924
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Sex
- Male
- Record last updated
- 2019-09-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania