Dr DOMENIC W CASABLANCA is a male medical professional, specializing in Family Medicine. He graduated in 1993 from University Of Connecticut School Of Medicine.
MIDDLESEX HOSPITAL
42 E HIGH ST
FAMILY PRACTICE GROUP EAST HAMPTON
EAST HAMPTON
CT
064241099
Tel: 8603586486
| Npi | 1548227267 |
| Pac Id | 9739153826 |
| Professional Enrollment Id | I20090916000371 |
| Last Name | CASABLANCA |
| First Name | DOMENIC |
| Middle Name | W |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | FAMILY MEDICINE |
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| Organization Legal Name | MIDDLESEX HOSPITAL |
| Group Practice Pac Id | 5092611731 |
| Number Of Group Practice Members | 163 |
| Line 1 Street Address | 42 E HIGH ST |
| Line 2 Street Address | FAMILY PRACTICE GROUP EAST HAMPTON |
| Marker Of Address Line 2 Suppression | |
| City | EAST HAMPTON |
| State | CT |
| Zip Code | 064241099 |
| Phone Number | 8603586486 |
| Hospital Affiliation Ccn 1 | 070020 |
| Hospital Affiliation Lbn 1 | MIDDLESEX HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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