IndividualActive
Domenick Braccia, DO
NPI 1821178005 · Addiction Medicine (Family Medicine) Physician · Fort Washington, PA
Provider details
- NPI number
- 1821178005
- Entity type
- Individual
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 0S006737L (PA)
Practice location
1035 Virginia Dr
Fort Washington, PA 19034-3103
Phone: (267) 419-7710
Mailing address
1035 Virginia Dr
Fort Washington, PA 19034
Registry dates
- Enumerated
- 2006-10-16
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.