Individual provider · Type 1 NPI

Louis Domenico Jr., MD

Vascular & Interventional Radiology Physician · Philadelphia, PA

NPI number 1942380902 Active

Practice location

2412 W Passyunk Ave Ste 14
Philadelphia, PA 19145-4114

Call (215) 462-2100 Map

Fax (215) 462-3100

Mailing address

PO Box 416147
Boston, MA 02241-6147

Specialties and licenses

TaxonomyCodeLicense
Vascular & Interventional Radiology Physician Primary 2085R0204XMD426532 (PA)
Diagnostic Radiology Physician 2085R0202X25MA08328500 (NJ)
Diagnostic Radiology Physician 2085R0202XMD426532 (PA)
Vascular & Interventional Radiology Physician 2085R0204X25MA08328500 (NJ)

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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About NPI 1942380902

Louis Domenico Jr., MD's National Provider Identifier is 1942380902, issued on Oct 16, 2006. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Philadelphia, PA. The record was last updated on Sep 23, 2026.