Domingo, Gloria Suja

Domingo, Gloria Suja is an individual health care provider with primary practice located at 809 N Hammonds Ferry Rd Ste C , Linthicum MD 21090. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Domingo, Gloria Suja can be contacted via phone (410) 789-2500.

Contact Information

Primary practice address
809 N Hammonds Ferry Rd Ste C Linthicum MD 21090
Phone: (410) 789-2500
Fax: (410) 789-2501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D26491 Maryland

Profile Details

NPI number 1679521975
LBN Legal business name Domingo, Gloria Suja
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jul 8th, 2007 - about 19 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 1679521975 NPPES
Maryland MEDICAID 270871001

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