Individual provider · Type 1 NPI

Connie D. Domingo, MD

Pediatric Rehabilitation Medicine Physician · Marlton, NJ

NPI number 1902896889 Active

Practice location

92 Brick Rd, 3rd Floor
Marlton, NJ 08053-2177

Fax (856) 983-1065

Mailing address

PO Box 674
Marlton, NJ 08053-0674

Specialties and licenses

TaxonomyCodeLicense
Pediatric Rehabilitation Medicine Physician 2081P0010XMD2026-0032 (NM)
Pediatric Rehabilitation Medicine Physician Primary 2081P0010X25MA06376400 (NJ)

Pediatric Rehabilitation Medicine Physician: A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabi…

46 other providers at this address

About NPI 1902896889

Connie D. Domingo, MD's National Provider Identifier is 1902896889, issued on Oct 24, 2005. The primary taxonomy on file is Pediatric Rehabilitation Medicine Physician (2081P0010X), and the practice location is in Marlton, NJ. The record was last updated on Feb 16, 2026.