Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | D0014502 | MD |
NPI | 1346223971 |
---|---|
Provider Name | Ms. Joanne Froio Domson |
First Address | Alexandria, VA 22314-3886 |
Second Address | Clinton, MD 20735-2549 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2005 |
Last Update Date | 27/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B93473 | (02) | MD |