Domush, Christopher M

Domush, Christopher M is an individual health care provider with primary practice located at 147 Milk St 3Rd Floor, Boston MA 02109-4806. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Domush, Christopher M can be contacted via phone (617) 654-7280.

Contact Information

Primary practice address
147 Milk St 3Rd Floor Boston MA 02109-4806
Phone: (617) 654-7280
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A86887 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 254747 Massachusetts

Profile Details

NPI number 1215985932
LBN Legal business name Domush, Christopher M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Nov 30th, 2021 - about 4 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 1215985932 NPPES
California MEDICAID 00A868870
California MEDICAID 110096676A

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