Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sean D Domzalski, PA-C

Individual provider Medical Physician Assistant · NPI 1003213919

Sean D Domzalski, PA-C is a Medical Physician Assistant in Wilkes Barre, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2014.

Licensed in
PA
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

150 Mundy Street Mac IV Bldg
Wilkes Barre, PA 18702
Phone: (570) 824-0930
Fax: (570) 824-7755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA057321 (PA)

Record details

NPI number1003213919
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 21, 2014
Last updated in NPPESSeptember 21, 2015

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