Search › Connecticut › 207Q00000X
Teresa Domack, M.D
NPI 1235540386 · on the registry since 2014
Practice
- Address
- 21 South Rd Ste 110
Farmington, CT 06032 - Phone
- (860) 284-4945
- Fax
- (860) 284-4946
- Organisation at this address
- University Of Connecticut Health Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 46
Additional practice sites
- 21 South Rd Ste 110, Farmington, CT
- 90 S Main St, Middletown, CT
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Also registered as
- 208M00000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-03-29
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 Connecticut