| Dominique Marques, CRNP | |
| 904 Sumneytown Pike Ste 100, Lower Gwynedd, PA 19002-1321 | |
| (215) 542-0655 | |
| Not Available | 
| Full Name | Dominique Marques | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 904 Sumneytown Pike Ste 100, Lower Gwynedd, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1376163113 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | SP021835 (Pennsylvania) | Primary | 
| Entity Name | Springhouse Dermatology Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1487041257 PECOS PAC ID: 1153641998 Enrollment ID: O20150519002225 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dominique Marques, CRNP 904 Sumneytown Pike Ste 100, Lower Gwynedd, PA 19002-1321 Ph: (215) 542-0655 | Dominique Marques, CRNP 904 Sumneytown Pike Ste 100, Lower Gwynedd, PA 19002-1321 Ph: (215) 542-0655 | 
| Miss Theresa J Davies, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 728 Norristown Rd, Lower Gwynedd, PA 19002 Phone: 215-628-8110 Fax: 215-628-0569 | |
| Sarah Condon, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 728 Norristown Rd, Lower Gwynedd, PA 19002 Phone: 877-345-5300 | |
| Kathleen Smith-gomez, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 728 Norristown Rd, Lower Gwynedd, PA 19002 Phone: 877-345-5300 | |
| Ann Brininger Bunker, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 728 Norristown Rd, Lower Gwynedd, PA 19002 Phone: 215-628-8110 |