# MD HEALTH GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871345868
- **Authorized official:** MARIE DOMINGO MD (OWNER/PRESIDENT/MANAGING MEMBER)
- **Authorized official phone:** (201) 956-9364

## Contact information

- **Practice address:** 680 BROADWAY STE 205, PATERSON, NJ 07514-1527
- **Practice address phone:** (201) 839-3834
- **Mailing address:** 1 KARL PL APT 22, GARFIELD, NJ 07026-1641
- **Mailing address phone:** (973) 955-8836

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/03/2024
- **Last updated:** 04/08/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1801834429 | ANESTHESIOLOGY/ PAIN MANAGEMENT | NJ |