| Justin Domenico, | |
|
100 E Lancaster Ave, Wynnewood, PA 19096-3450 | |
| (484) 476-2000 | |
| Not Available |
| Full Name | Justin Domenico |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 100 E Lancaster Ave, Wynnewood, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053960690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Domenico, 631 Villa Rd, Drexel Hill, PA 19026-1435 Ph: () - | Justin Domenico, 100 E Lancaster Ave, Wynnewood, PA 19096-3450 Ph: (484) 476-2000 |
Sarah Elizabeth Baker, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 484-476-2000 | |
Mrs. Angela D Feldser, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 540-446-6851 | |
Ms. Sarah Emily Danner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave Ste 275, Wynnewood, PA 19096 Phone: 484-476-8390 Fax: 484-476-7841 | |
Brandon Eberts, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave Ste 252, Wynnewood, PA 19096 Phone: 610-896-7360 Fax: 610-896-5207 | |
Katherine Anne Mcgovern, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 484-565-1048 Fax: 484-565-2044 | |
Jilda Ann Opczynski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 E Lancaster Ave, Wynnewood, PA 19096 Phone: 484-476-1000 Fax: 484-476-9000 |