Domer, Gregory S

Domer, Gregory S is an individual health care provider with primary practice located at 3735 Nazareth Rd Ste 206 , Easton PA 18045-8346. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Domer, Gregory S can be contacted via phone (484) 503-8281.

Contact Information

Primary practice address
3735 Nazareth Rd Ste 206 Easton PA 18045-8346
Phone: (484) 503-8281
Fax: (833) 866-5612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD427177 Pennsylvania
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 25MA07250800 New Jersey

Profile Details

NPI number 1003872474
LBN Legal business name Domer, Gregory S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Apr 2nd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003872474 NPPES
Pennsylvania MEDICAID 101443016 0001

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