Individual ProviderDominick M. ConcaRadiologyAllopathic & Osteopathic PhysiciansPractice Address100 N Academy Ave, Danville, PA 17822-2007(570) 271-6301(570) 271-6144PECOS EnrollmentBased on the most recent information from CMS, provider Dominick M. Conca does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1831165364Provider TypeIndividualFull NameConca, Dominick M.TitleDr.CredentialM.D.GenderMaleEnumeration Date2/24/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address100 N Academy Ave, Danville, PA 17822-2007Phone(570) 271-6301FaxUnlisted FaxMailing LocationMailing Address100 N Academy Ave, Danville, PA 17822-3034Phone(570) 271-6144Fax(570) 271-6578Provider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseMD014794EPennsylvania