Laura S Dominici
Surgical Oncologist
450 Brookline Ave Dana Farber Cancer Institute
Boston
, Massachusetts 02215-5418
Laura S Dominici
Surgical Oncologist
450 Brookline Ave Dana Farber Cancer Institute
Boston
, Massachusetts 02215-5418
(857) 307-0896
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About
Features
Specialties
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Laura S Dominici
- 111 Cypress St
- Brookline, MA
- Zip : 02445-6002
- Phone : (857) 307-0896
Second Address
- Laura S Dominici
- 450 Brookline Ave Dana Farber Cancer Institute
- Boston, MA
- Zip : 02215-5418
- Fax : (617) 582-7730
- Phone : (617) 632-3521
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086X0206X | Surgical Oncologist | 240034 | MA |
| N | 2086X0206X | Surgical Oncologist | M9981 | TX |
National Provider Identifier
| NPI | 1316118797 |
|---|---|
| Provider Name | Laura S Dominici |
| First Address | Brookline, MA 02445-6002 |
| Second Address | Boston, MA 02215-5418 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/03/2008 |
| Last Update Date | 15/05/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 110083330A | (05) | MA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.