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Dominador Burtanog
NPI 1609219823 · on the registry since 2013 · sole proprietor
Practice
- Address
- 27 Courtney St
Apt. 8
Fall River, MA 02720 - Phone
- (401) 316-4201
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2013-04-08
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 Massachusetts