| Sean D Domzalski, PA-C | |
|
150 Mundy Street, Mac Iv Building, Wilkes-barre, PA 18702 | |
| (570) 824-0930 | |
| (570) 824-7755 |
| Full Name | Sean D Domzalski |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 150 Mundy Street, Wilkes-barre, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003213919 | NPI | - | NPPES |
| 50130489 | Other | PA | CAPITAL BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | MA057321 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Sean D Domzalski, PA-C 243 S Prospect St, Nanticoke, PA 18634-2449 Ph: (570) 417-5402 | Sean D Domzalski, PA-C 150 Mundy Street, Mac Iv Building, Wilkes-barre, PA 18702 Ph: (570) 824-0930 |
Larisa Alexeyevna Yarczower, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 E. Mountain Drive, Wilkes-barre, PA 18702 Phone: 570-820-6150 Fax: 570-342-3316 | |
Ms. Melissa A. Zambetti, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 545 North River St., Suite 240, Wilkes-barre, PA 18702 Phone: 570-706-2620 Fax: 570-706-2627 | |
Prachi Majamundar, Physician Assistant Medicare: Medicare Enrolled Practice Location: 150 Mundy Street, Mac Iv Building, Wilkes-barre, PA 18702 Phone: 570-824-0930 | |
Adam William Yngelmo, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 150 Mundy Street, Mac Iv Building, Wilkes-barre, PA 18702 Phone: 570-824-0930 Fax: 570-824-7755 | |
Nicole Mayers, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1155 E Mountain Blvd, Wilkes-barre, PA 18702 Phone: 570-808-7300 | |
Ms. Brooke Nicole Thornton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1000 East Mountain Blvd, Pearsall Heart Hospital 2nd Floor, Wilkes-barre, PA 18711 Phone: 570-808-7300 |