Most Relevant Information
Provider Data
| NPI Number: | 1003445628 |
| Provider Name: | DOMENIC VALENTINO DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/06/2020 |
| Last Updated: | 04/06/2020 |
Provider Practice Location
263 FARMINGTON AVE
FARMINGTON
CT
060300001
Practice Location Phone/Fax
| Phone: | 8606793600 |
| Fax: | 8606791275 |
Provider Mailing Location
263 FARMINGTON AVE
FARMINGTON
CT
060301921
Provider Mailing Phone/Fax
| Phone: | 8606793600 |
| Fax: | 8606791275 |