Provider Demographics
NPI:1275619652
Name:SINGSON, DOMINGO C (MD)
Entity Type:Individual
Prefix:DR
First Name:DOMINGO
Middle Name:C
Last Name:SINGSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 GILPIN AVENUE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806
Mailing Address - Country:US
Mailing Address - Phone:302-421-8282
Mailing Address - Fax:302-428-0851
Practice Address - Street 1:1021 GILPIN AVENUE
Practice Address - Street 2:SUITE 104
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806
Practice Address - Country:US
Practice Address - Phone:302-421-8282
Practice Address - Fax:302-428-0851
Is Sole Proprietor?:No
Enumeration Date:2006-10-28
Last Update Date:2013-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10004278207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000564001Medicaid
00A777D57Medicare ID - Type Unspecified
DE0000564001Medicaid