Domingo, Connie D

Domingo, Connie D is an individual health care provider with primary practice located at 92 Brick Rd 3Rd Floor, Marlton NJ 08053-2177. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine, which is considered as her primary health care specialty. Domingo, Connie D can be contacted via phone (856) 489-4520.

Contact Information

Primary practice address
92 Brick Rd 3Rd Floor Marlton NJ 08053-2177
Phone: (856) 489-4520
Fax: (856) 983-1065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine 2081P0010X MD2026-0032 New Mexico
Allopathic & Osteopathic Physicians / Pediatric Rehabilitation Medicine 2081P0010X 25MA06376400 New Jersey

Profile Details

NPI number 1902896889
LBN Legal business name Domingo, Connie D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Feb 16th, 2026 - about 8 months 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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