IndividualActive
Connie Domingo, MD
NPI 1902896889 · Pediatric Rehabilitation Medicine Physician · Marlton, NJ
Provider details
- NPI number
- 1902896889
- Entity type
- Individual
- Primary specialty
- Pediatric Rehabilitation Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD2026-0032 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
92 Brick Rd
3rd Floor
Marlton, NJ 08053-2177
Phone: (856) 489-4520
Fax: (856) 983-1065
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 674
Marlton, NJ 08053-0674
Registry dates
- Enumerated
- 2005-10-24
- Last updated
- 2026-02-16
- Certified
- 2026-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.